Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › AZ › Peoria › NPI 1093971749
Dental

Ellis, Eric

Ellis, Eric was paid $11K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.

33Billing provider infoELLIS, ERIC
PEORIA, AZ 85383
33aNPI1093971749assigned 08/01/2008
33bProvider typeDentist
28Total paid$11K
24GClaims40,462
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dentist providers in Arizona

Rank by total paid#147 of 468
Median peer was paid$686.85
This provider vs. median15×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20186,330$53.00
20196,497$0.00
20205,264$386.93
20217,409$10K
20225,491$0.00
20234,952$0.00
2024incomplete4,519$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 23% 5,374 5,182 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 19% 1,280 545 $2K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 16% 5,252 5,060 $2K
D1206 Topical application of fluoride varnish 12% 6,148 5,900 $1K
D0230 Intraoral - periapical each additional radiographic image 10% 7,803 3,617 $1K
D0220 Intraoral - periapical first radiographic image 5.4% 4,132 3,902 $570.29
D1110 Prophylaxis - adult 4.6% 508 485 $484.00
D0272 Bitewings - two radiographic images 4.0% 2,631 2,506 $415.11
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.2% 653 612 $334.80
D0274 Bitewings - four radiographic images 2.9% 277 258 $303.62
D0330 Panoramic radiographic image 0% 268 262 $0.00
D2930 Prefabricated stainless steel crown - primary tooth 0% 165 67 $0.00
9 more codes
D2391 Resin-based composite - one surface, posterior, primary or permanent 0% 105 $0.00
D1999 0% 273 $0.00
D1330 0% 4,185 $0.00
D0150 Comprehensive oral evaluation - new or established patient 0% 682 $0.00
D1351 Sealant - per tooth 0% 533 $0.00
D0140 Limited oral evaluation - problem focused 0% 46 $0.00
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 0% 33 $0.00
D7140 Extraction, erupted tooth or exposed root 0% 30 $0.00
D0210 Intraoral - complete series of radiographic images 0% 84 $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.