Spencer A. Ellis

Spencer A. Ellis was paid $66K by Medicaid between Apr 2019 and Jul 2021, across 12 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 19% of everything it billed.

33Billing provider infoSPENCER A. ELLIS
HUNTSVILLE, TN 37756

33aNPI1194900464assigned 01/07/2008

33bProvider typeCustomized Equipment (DME)

28Total paid$66K

24GClaims2,602

24DCodes billed12

24AFirst – last monthApr 2019 – Jul 2021

Compared with peers

Next to other Customized Equipment (DME) providers in Tennessee

Rank by total paid#23 of 32

Median peer was paid$171K

This provider vs. median0.4×

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	1,400	$36K
2020	738	$16K
2021	464	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1208	Topical application of fluoride, excluding varnish	19%	682	676	$13K
D1120	Dental cleaning, childProphylaxis - child	16%	354	353	$11K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	464	462	$11K
D2391	Resin-based composite - one surface, posterior, primary or permanent	13%	152	59	$8K
D1110	Prophylaxis - adult	12%	222	216	$8K
D0274	Bitewings - four radiographic images	7.0%	226	212	$5K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	5.8%	54	27	$4K
D0150	Comprehensive oral evaluation - new or established patient	4.4%	119	117	$3K
D0220	Intraoral - periapical first radiographic image	3.4%	199	193	$2K
D0330	Panoramic radiographic image	1.0%	24	23	$676.51
D0140	Limited oral evaluation - problem focused	<1%	27	27	$590.50
D0230	Intraoral - periapical each additional radiographic image	<1%	79	38	$541.07

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.

From NPPES

Who's on the registration

Authorized officialELLIS, SPENCER (OWNER)