Dental
Taysom, Tod
Taysom, Tod was paid $209.68 by Medicaid between Feb 2024 and Dec 2024, across 14 billing codes. Its largest line is D0330, Panoramic radiographic image — 30% of everything it billed.
33Billing provider infoTAYSOM, TOD
SAHUARITA, AZ 85629
SAHUARITA, AZ 85629
33aNPI1083308209assigned 06/08/2023
33bProvider typeDentist
28Total paid$209.68
24GClaims2,587
24DCodes billed14
24AFirst – last monthFeb 2024 – Dec 2024
Compared with peers
Next to other Dentist providers in Arizona
Rank by total paid#277 of 468
Median peer was paid$686.85
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2024incomplete | 2,587 | $209.68 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 30% | 73 | 73 | $61.90 |
| D0150 | Comprehensive oral evaluation - new or established patient | 22% | 234 | 234 | $46.28 |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 377 | 375 | $44.44 |
| D0272 | Bitewings - two radiographic images | 11% | 129 | 129 | $23.90 |
| D1208 | Topical application of fluoride, excluding varnish | 10.0% | 392 | 390 | $20.93 |
| D0230 | Intraoral - periapical each additional radiographic image | 5.8% | 358 | 352 | $12.23 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 372 | 370 | $0.00 |
| D1354 | 0% | 219 | 74 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 43 | 43 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 55 | 55 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 15 | 13 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 168 | 168 | $0.00 |
2 more codes
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.