Pan, Olivia

Pan, Olivia was paid $11K by Medicaid between Feb 2023 and Nov 2023, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.

33Billing provider infoPAN, OLIVIA
WASHINGTON, DC 20012

33aNPI1205406329assigned 06/30/2021

33bProvider typeDentist

28Total paid$11K

24GClaims587

24DCodes billed10

24AFirst – last monthFeb 2023 – Nov 2023

Compared with peers

Next to other Dentist providers in District of Columbia

Rank by total paid#43 of 66

Median peer was paid$30K

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
2023	587	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	40%	111	110	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	97	96	$2K
D1206	Topical application of fluoride varnish	8.4%	57	53	$937.50
D0274	Bitewings - four radiographic images	7.4%	76	75	$828.00
D0140	Limited oral evaluation - problem focused	5.2%	13	13	$580.00
D0220	Intraoral - periapical first radiographic image	5.0%	125	120	$560.00
D1120	Dental cleaning, childProphylaxis - child	4.4%	12	12	$495.00
D0230	Intraoral - periapical each additional radiographic image	3.5%	71	70	$393.00
D0150	Comprehensive oral evaluation - new or established patient	2.7%	12	12	$300.00
D1208	Topical application of fluoride, excluding varnish	2.7%	13	13	$300.00

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.