Dental
Downey, Matthew
Downey, Matthew was paid $2.79M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 15% of everything it billed.
33Billing provider infoDOWNEY, MATTHEW
NARRAGANSETT, RI 02882
NARRAGANSETT, RI 02882
33aNPI1295028488assigned 05/19/2011
33bProvider typePediatric Dentist
28Total paid$2.79M
24GClaims63,996
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Rhode Island
Rank by total paid#4 of 29
Median peer was paid$643K
This provider vs. median4.3×
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 | 5,020 | $200K | |
| 2019 | 7,529 | $336K | |
| 2020 | 4,312 | $210K | |
| 2021 | 9,604 | $475K | |
| 2022 | 6,639 | $275K | |
| 2023 | 13,337 | $616K | |
| 2024incomplete | 17,555 | $678K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 15% | 3,091 | 802 | $411K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 9,437 | 8,150 | $363K |
| D1206 | Topical application of fluoride varnish | 12% | 11,104 | 9,321 | $345K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 8.5% | 2,302 | 2,226 | $237K |
| D7140 | Extraction, erupted tooth or exposed root | 7.2% | 2,532 | 1,080 | $202K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.1% | 9,355 | 8,298 | $199K |
| D1351 | Sealant - per tooth | 5.8% | 5,620 | 1,587 | $163K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.0% | 2,061 | 1,242 | $140K |
| D1110 | Prophylaxis - adult | 4.1% | 2,640 | 2,218 | $116K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.9% | 1,123 | 791 | $110K |
| D9420 | 3.1% | 405 | 368 | $86K | |
| D0330 | Panoramic radiographic image | 2.9% | 1,383 | 1,266 | $80K |
14 more codes
| D0274 | Bitewings - four radiographic images | 2.6% | 2,769 | $74K |
| D0272 | Bitewings - two radiographic images | 2.3% | 3,097 | $65K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 2,206 | $47K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 1.3% | 407 | $37K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.1% | 990 | $31K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 1,006 | $30K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 641 | $18K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,159 | $16K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 101 | $8K |
| D1354 | <1% | 224 | $5K | |
| D0240 | <1% | 122 | $3K | |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 72 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 118 | $1K |
| D7111 | <1% | 31 | $1K |
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.