Dental
Lutz, Travis
Lutz, Travis was paid $13K by Medicaid between Jan 2018 and Sep 2018, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 28% of everything it billed.
33Billing provider infoLUTZ, TRAVIS
CELINA, OH 45822
CELINA, OH 45822
33aNPI1295852655assigned 03/23/2007
33bProvider typeDentist
28Total paid$13K
24GClaims676
24DCodes billed5
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers
Next to other Dentist providers in Ohio
Rank by total paid#481 of 745
Median peer was paid$38K
This provider vs. median0.3×
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 | 676 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 199 | 198 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 137 | 136 | $3K |
| D1110 | Prophylaxis - adult | 22% | 77 | 77 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 21% | 175 | 174 | $3K |
| D0272 | Bitewings - two radiographic images | 7.2% | 88 | 88 | $924.00 |
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.