Dental
Odhiambo, Antony
Odhiambo, Antony was paid $4K by Medicaid between Oct 2020 and Aug 2021, across 10 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 24% of everything it billed.
33Billing provider infoODHIAMBO, ANTONY
TYLER, TX 75703
TYLER, TX 75703
33aNPI1073740478assigned 06/12/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims353
24DCodes billed10
24AFirst – last monthOct 2020 – Aug 2021
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#2,129 of 2,774
Median peer was paid$43K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 20 | $0.00 | |
| 2021 | 333 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 24% | 18 | 17 | $996.19 |
| D1110 | Prophylaxis - adult | 21% | 20 | 19 | $868.28 |
| D1208 | Topical application of fluoride, excluding varnish | 21% | 72 | 70 | $856.30 |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 20 | 19 | $496.88 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.5% | 15 | 15 | $392.50 |
| D0230 | Intraoral - periapical each additional radiographic image | 6.9% | 40 | 12 | $284.69 |
| D0220 | Intraoral - periapical first radiographic image | 5.9% | 29 | 28 | $246.16 |
| D0603 | <1% | 48 | 48 | $0.01 | |
| D0602 | 0% | 25 | 25 | $0.00 | |
| D1999 | 0% | 66 | 58 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.