Dage, Theodore

Dage, Theodore was paid $26.67 by Medicaid between Oct 2019 and Oct 2019, across 2 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 100% of everything it billed.

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	30	$26.67

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90460	Immunization administration through 18 years of age via any route, first or only component	100%	15	15	$26.67
90686		0%	15	15	$0.00

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.