Baumgardner, Douglas

Baumgardner, Douglas was paid $50K by Medicaid between Jan 2018 and Feb 2020, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.

33Billing provider infoBAUMGARDNER, DOUGLAS
HODGENVILLE, KY 42748

33aNPI1154311744assigned 10/25/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$50K

24GClaims2,039

24DCodes billed9

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other General Practice Dentistry providers in Kentucky

Rank by total paid#301 of 462

Median peer was paid$106K

This provider vs. median0.5×

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	1,117	$27K
2019	871	$21K
2020	51	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	40%	591	527	$20K
D0274	Bitewings - four radiographic images	16%	387	351	$8K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	372	339	$6K
D0330	Panoramic radiographic image	11%	169	145	$6K
D0150	Comprehensive oral evaluation - new or established patient	8.9%	201	171	$4K
D0140	Limited oral evaluation - problem focused	4.4%	97	81	$2K
D1120	Dental cleaning, childProphylaxis - child	4.1%	44	44	$2K
D1208	Topical application of fluoride, excluding varnish	3.0%	105	102	$1K
D0220	Intraoral - periapical first radiographic image	<1%	73	50	$416.88

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.