Dental
Gansore, Timothee
Gansore, Timothee was paid $722K by Medicaid between Feb 2023 and Dec 2024, across 16 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 46% of everything it billed.
33Billing provider infoGANSORE, TIMOTHEE
JACKSBORO, TN 37757
JACKSBORO, TN 37757
33aNPI1154842516assigned 07/06/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$722K
24GClaims10,288
24DCodes billed16
24AFirst – last monthFeb 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#70 of 336
Median peer was paid$123K
This provider vs. median5.9×
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 | |
|---|---|---|---|
| 2023 | 4,919 | $246K | |
| 2024incomplete | 5,369 | $477K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 46% | 5,578 | 756 | $334K |
| D5110 | 15% | 242 | 152 | $108K | |
| D7250 | 12% | 676 | 107 | $88K | |
| D5120 | 8.6% | 121 | 83 | $62K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.0% | 286 | 102 | $36K |
| D0330 | Panoramic radiographic image | 3.4% | 641 | 531 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 917 | 756 | $24K |
| D0210 | Intraoral - complete series of radiographic images | 1.8% | 240 | 222 | $13K |
| D1110 | Prophylaxis - adult | 1.7% | 343 | 266 | $12K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 426 | 361 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 250 | 166 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 339 | 287 | $4K |
4 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.