Estes, Caleb

Estes, Caleb was paid $95K by Medicaid between Feb 2018 and Aug 2018, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.

33Billing provider infoESTES, CALEB
FRANKLIN, TN 37067

33aNPI1114362506assigned 04/30/2013

33bProvider typeGeneral Practice Dentistry

28Total paid$95K

24GClaims2,582

24DCodes billed16

24AFirst – last monthFeb 2018 – Aug 2018

Compared with peers

Next to other General Practice Dentistry providers in Tennessee

Rank by total paid#182 of 336

Median peer was paid$123K

This provider vs. median0.8×

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	2,582	$95K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	25%	563	559	$24K
D1206	Topical application of fluoride varnish	21%	580	576	$20K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	13%	121	85	$13K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	554	549	$11K
D2391	Resin-based composite - one surface, posterior, primary or permanent	7.7%	98	67	$7K
D0272	Bitewings - two radiographic images	4.7%	188	186	$4K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	3.8%	121	116	$4K
D1351	Sealant - per tooth	2.2%	64	16	$2K
D7140	Extraction, erupted tooth or exposed root	2.1%	24	16	$2K
D1310		1.9%	55	55	$2K
D1330		1.6%	52	52	$2K
D0274	Bitewings - four radiographic images	1.6%	47	43	$1K

4 more codes

D0150	Comprehensive oral evaluation - new or established patient	1.4%	39	$1K
D0220	Intraoral - periapical first radiographic image	<1%	51	$751.00
D0240		<1%	13	$600.00
D0140	Limited oral evaluation - problem focused	<1%	12	$396.00

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.