Dental
Ufomata, Dickson
Ufomata, Dickson was paid $1.31M by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 18% of everything it billed.
33Billing provider infoUFOMATA, DICKSON
LEXINGTON, KY 40514
LEXINGTON, KY 40514
33aNPI1295998185assigned 07/09/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$1.31M
24GClaims38,781
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Kentucky
Rank by total paid#18 of 462
Median peer was paid$106K
This provider vs. median12×
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 | 8,232 | $227K | |
| 2019 | 5,817 | $163K | |
| 2020 | 6,043 | $182K | |
| 2021 | 6,736 | $219K | |
| 2022 | 5,158 | $209K | |
| 2023 | 3,521 | $168K | |
| 2024incomplete | 3,274 | $145K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 18% | 3,475 | 1,100 | $242K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 3,152 | 1,652 | $167K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 6,037 | 5,750 | $152K |
| D0330 | Panoramic radiographic image | 10% | 3,635 | 3,465 | $136K |
| D0274 | Bitewings - four radiographic images | 7.6% | 4,426 | 4,216 | $100K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.8% | 1,561 | 862 | $89K |
| D1110 | Prophylaxis - adult | 6.8% | 2,301 | 2,184 | $89K |
| D7140 | Extraction, erupted tooth or exposed root | 5.7% | 973 | 223 | $74K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.6% | 1,861 | 1,083 | $74K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.2% | 1,621 | 1,557 | $69K |
| D0140 | Limited oral evaluation - problem focused | 2.6% | 1,154 | 1,063 | $35K |
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 1,903 | 1,824 | $27K |
9 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 3,040 | $18K |
| D0120 | Dental checkup, returning patient | <1% | 565 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,300 | $9K |
| D5110 | <1% | 13 | $9K | |
| D1351 | Sealant - per tooth | <1% | 431 | $8K |
| D2394 | <1% | 69 | $5K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 35 | $556.13 |
| D0431 | 0% | 145 | $0.00 | |
| D9986 | 0% | 84 | $0.00 |
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.