Dental
Daniel Bonner
Daniel Bonner was paid $5K by Medicaid between Jan 2018 and Aug 2018, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 38% of everything it billed.
33Billing provider infoDANIEL BONNER
INWOOD, WV 25428
INWOOD, WV 25428
33aNPI1225554967assigned 08/15/2017
33bProvider typeDentist
28Total paid$5K
24GClaims188
24DCodes billed4
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other Dentist providers in West Virginia
Rank by total paid#84 of 112
Median peer was paid$60K
This provider vs. median0.1×
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 | 188 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 38% | 64 | 61 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 34% | 78 | 77 | $2K |
| D1110 | Prophylaxis - adult | 15% | 15 | 15 | $770.00 |
| D0272 | Bitewings - two radiographic images | 14% | 31 | 29 | $700.00 |
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.
From NPPES
Who's on the registration
Authorized officialHESS, AMANDA (OFFICE MANAGER)