Tipton, Dallin

Tipton, Dallin was paid $12K by Medicaid between Jan 2021 and Feb 2021, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 37% of everything it billed.

33Billing provider infoTIPTON, DALLIN
DEKALB, IL 60115

33aNPI1285258129assigned 06/06/2020

33bProvider typeGeneral Practice Dentistry

28Total paid$12K

24GClaims1,134

24DCodes billed9

24AFirst – last monthJan 2021 – Feb 2021

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#811 of 1,017

Median peer was paid$123K

This provider vs. median0.1×

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
2021	1,134	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	37%	243	227	$4K
D1206	Topical application of fluoride varnish	24%	243	227	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	226	207	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	3.9%	16	12	$449.20
D0220	Intraoral - periapical first radiographic image	3.7%	143	114	$431.20
D0274	Bitewings - four radiographic images	3.2%	46	44	$371.80
D0230	Intraoral - periapical each additional radiographic image	2.7%	142	105	$315.40
D0272	Bitewings - two radiographic images	1.8%	63	62	$206.80
D0150	Comprehensive oral evaluation - new or established patient	<1%	12	12	$63.15

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.