Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Malcom, Sylvester

Malcom, Sylvester was paid $9K by Medicaid between Jul 2019 and Jan 2020, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 38% of everything it billed.

33Billing provider infoMALCOM, SYLVESTER
JONESBORO, GA 30238
33aNPI1124487590assigned 02/15/2016
28Total paid$9K
24GClaims236
24DCodes billed4
24AFirst – last monthJul 2019 – Jan 2020
Compared with peers

Next to other General Practice Dentistry providers in Georgia

Rank by total paid#43 of 63
Median peer was paid$30K
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

$0$2.0K$4.0K2018201920202021202220232024
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
2019222$8K
202014$350.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 38% 48 48 $3K
D1208 Topical application of fluoride, excluding varnish 30% 106 106 $3K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 24% 64 64 $2K
D0274 Bitewings - four radiographic images 8.0% 18 18 $704.00

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.