Brockman, Douglas

Brockman, Douglas was paid $2K by Medicaid between Nov 2019 and Nov 2019, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.

33Billing provider infoBROCKMAN, DOUGLAS
MIDDLETOWN, OH 45044

33aNPI1174583306assigned 03/23/2006

33bProvider typePediatric Dentist

28Total paid$2K

24GClaims148

24DCodes billed5

24AFirst – last monthNov 2019 – Nov 2019

Compared with peers

Next to other Pediatric Dentist providers in Ohio

Rank by total paid#131 of 144

Median peer was paid$140K

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
2019	148	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	30%	37	37	$630.00
D1206	Topical application of fluoride varnish	26%	43	43	$551.25
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	34	34	$502.04
D0150	Comprehensive oral evaluation - new or established patient	13%	12	12	$276.70
D0272	Bitewings - two radiographic images	6.0%	22	22	$126.00

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.