Dental
Washington, Brandon
Washington, Brandon was paid $950.28 by Medicaid between Apr 2018 and Jul 2018, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.
33Billing provider infoWASHINGTON, BRANDON
SHIPROCK, NM 87420
SHIPROCK, NM 87420
33aNPI1255627329assigned 06/27/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$950.28
24GClaims63
24DCodes billed4
24AFirst – last monthApr 2018 – Jul 2018
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#187 of 202
Median peer was paid$44K
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 | |
|---|---|---|---|
| 2018 | 63 | $950.28 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 40% | 12 | 12 | $375.43 |
| D0150 | Comprehensive oral evaluation - new or established patient | 31% | 13 | 13 | $289.85 |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 13 | 12 | $165.00 |
| D0220 | Intraoral - periapical first radiographic image | 13% | 25 | 24 | $120.00 |
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.