Dental
Sullivan, Gabriel
Sullivan, Gabriel was paid $24K by Medicaid between Feb 2019 and Jan 2022, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoSULLIVAN, GABRIEL
UNION CITY, TN 38261
UNION CITY, TN 38261
33aNPI1235223017assigned 10/03/2006
33bProvider typeDentist
28Total paid$24K
24GClaims1,274
24DCodes billed12
24AFirst – last monthFeb 2019 – Jan 2022
Compared with peers
Next to other Dentist providers in Tennessee
Rank by total paid#197 of 242
Median peer was paid$164K
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 | |
|---|---|---|---|
| 2019 | 861 | $16K | |
| 2020 | 317 | $7K | |
| 2021 | 76 | $2K | |
| 2022 | 20 | $420.25 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 141 | 125 | $5K |
| D1110 | Prophylaxis - adult | 17% | 120 | 107 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 161 | 154 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 139 | 121 | $3K |
| D1206 | Topical application of fluoride varnish | 11% | 226 | 202 | $3K |
| D0274 | Bitewings - four radiographic images | 10% | 120 | 104 | $2K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.0% | 26 | 13 | $970.50 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.7% | 17 | 13 | $895.32 |
| D0272 | Bitewings - two radiographic images | 3.4% | 64 | 52 | $824.04 |
| D0140 | Limited oral evaluation - problem focused | 3.2% | 30 | 30 | $768.92 |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 76 | 68 | $487.44 |
| D0431 | <1% | 154 | 139 | $170.00 |
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.