Dental
Pfountz, Timothy
Pfountz, Timothy was paid $263K by Medicaid between Jan 2018 and Jan 2022, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.
33Billing provider infoPFOUNTZ, TIMOTHY
LEBANON, TN 37087
LEBANON, TN 37087
33aNPI1083976799assigned 06/10/2012
33bProvider typeDentist
28Total paid$263K
24GClaims8,267
24DCodes billed15
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other Dentist providers in Tennessee
Rank by total paid#96 of 242
Median peer was paid$164K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2018 | 1,135 | $35K | |
| 2019 | 1,434 | $43K | |
| 2020 | 2,180 | $69K | |
| 2021 | 3,354 | $111K | |
| 2022 | 164 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 19% | 1,233 | 1,210 | $49K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 675 | 433 | $48K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,283 | 1,258 | $29K |
| D1206 | Topical application of fluoride varnish | 9.8% | 1,271 | 1,242 | $26K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.9% | 414 | 257 | $23K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.8% | 216 | 139 | $18K |
| D0274 | Bitewings - four radiographic images | 5.6% | 623 | 610 | $15K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.7% | 405 | 395 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 381 | 373 | $11K |
| D0330 | Panoramic radiographic image | 4.0% | 290 | 280 | $10K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.7% | 252 | 232 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 2.3% | 328 | 325 | $6K |
3 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.