Sackrider, Tanya

Sackrider, Tanya was paid $983.71 by Medicaid between Jul 2019 and Jan 2022, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 47% of everything it billed.

33Billing provider infoSACKRIDER, TANYA
BATAVIA, OH 45103

33aNPI1255546503assigned 05/11/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$983.71

24GClaims52

24DCodes billed3

24AFirst – last monthJul 2019 – Jan 2022

Compared with peers

Next to other General Practice Dentistry providers in Ohio

Rank by total paid#759 of 870

Median peer was paid$40K

This provider vs. median0.0×

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	40	$778.75
2022	12	$204.96

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	47%	27	27	$461.16
D0150	Comprehensive oral evaluation - new or established patient	35%	13	13	$342.55
D1208	Topical application of fluoride, excluding varnish	18%	12	12	$180.00

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.