Dental
Ndoutoume, Olivia
Ndoutoume, Olivia was paid $67.80 by Medicaid between Mar 2021 and Dec 2021, across 2 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 93% of everything it billed.
33Billing provider infoNDOUTOUME, OLIVIA
LONGVIEW, TX 75605
LONGVIEW, TX 75605
33aNPI1154878551assigned 09/02/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$67.80
24GClaims96
24DCodes billed2
24AFirst – last monthMar 2021 – Dec 2021
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#2,644 of 2,774
Median peer was paid$43K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 96 | $67.80 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 93% | 15 | 15 | $62.80 |
| D0603 | 7.4% | 81 | 80 | $5.00 |
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.