Pickett, Mark

Pickett, Mark was paid $84K by Medicaid between Jan 2018 and Jun 2018, across 16 billing codes. Its largest line is D2150, Silver amalgam - two surfaces, primary or permanent — 23% of everything it billed.

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	2,522	$84K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2150	Silver amalgam - two surfaces, primary or permanent	23%	252	96	$20K
D1110	Prophylaxis - adult	14%	261	181	$12K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	440	301	$11K
D2140		10%	137	39	$9K
D0272	Bitewings - two radiographic images	10%	373	254	$9K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	6.9%	225	145	$6K
D2160		5.0%	45	24	$4K
D1206	Topical application of fluoride varnish	4.5%	196	137	$4K
D7140	Extraction, erupted tooth or exposed root	3.8%	46	16	$3K
D0220	Intraoral - periapical first radiographic image	3.2%	169	100	$3K
D1120	Dental cleaning, childProphylaxis - child	2.2%	54	37	$2K
D1208	Topical application of fluoride, excluding varnish	1.5%	66	42	$1K

4 more codes

D0601		<1%	128	$615.00
D0140	Limited oral evaluation - problem focused	<1%	18	$527.20
D0602		<1%	97	$411.02
D0603		<1%	15	$70.00

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.