Nimsuwan, Alissara
Nimsuwan, Alissara was paid $78K by Medicaid between Jan 2018 and May 2018, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoNIMSUWAN, ALISSARA
LAS VEGAS, NV 89149
LAS VEGAS, NV 89149
33aNPI1265882849assigned 06/15/2016
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$78K
24GClaims3,018
24DCodes billed17
24AFirst – last monthJan 2018 – May 2018
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Nevada
Rank by total paid#14 of 61
Median peer was paid$20K
This provider vs. median4.0×
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 | 3,018 | $78K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 461 | 439 | $18K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 540 | 518 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 438 | 416 | $11K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 8.9% | 134 | 80 | $7K |
| D0274 | Bitewings - four radiographic images | 6.8% | 323 | 306 | $5K |
| D1351 | Sealant - per tooth | 6.5% | 132 | 38 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 5.2% | 111 | 69 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 174 | 171 | $4K |
| D1110 | Prophylaxis - adult | 4.7% | 139 | 137 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.7% | 24 | 15 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 231 | 224 | $1K |
| D2140 | 1.6% | 36 | 25 | $1K |
5 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.4% | 34 | $1K |
| D0272 | Bitewings - two radiographic images | 1.1% | 95 | $864.80 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 115 | $748.60 |
| D0140 | Limited oral evaluation - problem focused | <1% | 17 | $275.40 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 14 | $163.60 |
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.