Dental
Evans, Mark
Evans, Mark was paid $6K by Medicaid between Feb 2018 and Sep 2018, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 44% of everything it billed.
33Billing provider infoEVANS, MARK
MARYVILLE, TN 37804
MARYVILLE, TN 37804
33aNPI1285784025assigned 01/12/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$6K
24GClaims254
24DCodes billed3
24AFirst – last monthFeb 2018 – Sep 2018
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#295 of 336
Median peer was paid$123K
This provider vs. median0.0×
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 | 254 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 44% | 119 | 119 | $3K |
| D1206 | Topical application of fluoride varnish | 30% | 93 | 93 | $2K |
| D1110 | Prophylaxis - adult | 25% | 42 | 41 | $2K |
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.