Dental
Philbert, Rawle
Philbert, Rawle was paid $950K by Medicaid between Jan 2018 and May 2021, across 23 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 100% of everything it billed.
33Billing provider infoPHILBERT, RAWLE
DALLAS, TX 75235
DALLAS, TX 75235
33aNPI1275619124assigned 10/31/2006
33bProvider typeDentist
28Total paid$950K
24GClaims22,784
24DCodes billed23
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#214 of 1,678
Median peer was paid$35K
This provider vs. median28×
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 | 4,898 | $214K | |
| 2019 | 11,005 | $441K | |
| 2020 | 5,525 | $232K | |
| 2021 | 1,356 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9999 | Unspecified adjunctive procedure, by report | 100% | 6,551 | 5,886 | $948K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,046 | 790 | $523.89 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 532 | 383 | $402.49 |
| D0330 | Panoramic radiographic image | <1% | 1,060 | 1,049 | $360.25 |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,815 | 1,814 | $250.31 |
| D1110 | Prophylaxis - adult | <1% | 983 | 983 | $208.05 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,798 | 1,769 | $198.56 |
| D0274 | Bitewings - four radiographic images | <1% | 866 | 866 | $117.09 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 588 | 588 | $110.20 |
| D9430 | <1% | 871 | 764 | $99.75 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 34 | 34 | $53.20 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 1,065 | 1,065 | $34.44 |
11 more codes
| D4355 | 0% | 966 | $0.00 | |
| D1330 | 0% | 2,065 | $0.00 | |
| D1310 | 0% | 487 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 494 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 176 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 86 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 63 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 40 | $0.00 |
| D1354 | 0% | 39 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 116 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 1,043 | $0.00 |
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.