Dale, John

Dale, John was paid $28K by Medicaid between Jan 2018 and Feb 2019, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 38% of everything it billed.

33Billing provider infoDALE, JOHN
STATESVILLE, NC 28677

33aNPI1285739839assigned 09/14/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$28K

24GClaims1,365

24DCodes billed7

24AFirst – last monthJan 2018 – Feb 2019

Compared with peers

Next to other General Practice Dentistry providers in North Carolina

Rank by total paid#512 of 756

Median peer was paid$121K

This provider vs. median0.2×

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	1,207	$25K
2019	158	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	38%	309	305	$11K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	335	329	$7K
D0230	Intraoral - periapical each additional radiographic image	12%	414	99	$3K
D0274	Bitewings - four radiographic images	12%	122	118	$3K
D0220	Intraoral - periapical first radiographic image	7.4%	156	146	$2K
D0330	Panoramic radiographic image	2.8%	17	14	$785.48
D0150	Comprehensive oral evaluation - new or established patient	1.7%	12	12	$481.92

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.