Dental
Carbonell, David
Carbonell, David was paid $13K by Medicaid between Jan 2018 and Jan 2019, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoCARBONELL, DAVID
BRIDGMAN, MI 49106
BRIDGMAN, MI 49106
33aNPI1205249786assigned 06/03/2014
33bProvider typeDentist
28Total paid$13K
24GClaims523
24DCodes billed8
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#548 of 1,033
Median peer was paid$15K
This provider vs. median0.8×
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 | 470 | $11K | |
| 2019 | 53 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 66 | 66 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 110 | 110 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 55 | 55 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 96 | 96 | $2K |
| D0274 | Bitewings - four radiographic images | 7.0% | 28 | 28 | $888.47 |
| D0220 | Intraoral - periapical first radiographic image | 6.8% | 56 | 56 | $856.54 |
| D0230 | Intraoral - periapical each additional radiographic image | 5.8% | 93 | 48 | $735.92 |
| D1206 | Topical application of fluoride varnish | 3.4% | 19 | 19 | $425.00 |
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.