Dental
Dazen, Donald
Dazen, Donald was paid $77K by Medicaid between Nov 2020 and Dec 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoDAZEN, DONALD
MC KEES ROCKS, PA 15136
MC KEES ROCKS, PA 15136
33aNPI1306835384assigned 10/21/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$77K
24GClaims2,847
24DCodes billed11
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#305 of 847
Median peer was paid$37K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2020 | 339 | $12K | |
| 2021 | 1,435 | $42K | |
| 2024incomplete | 1,073 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 600 | 594 | $20K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 917 | 911 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 158 | 92 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 11% | 131 | 82 | $8K |
| D0272 | Bitewings - two radiographic images | 7.6% | 382 | 374 | $6K |
| D2332 | 6.1% | 77 | 54 | $5K | |
| D1208 | Topical application of fluoride, excluding varnish | 5.8% | 238 | 238 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.9% | 123 | 123 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 3.2% | 40 | 25 | $2K |
| D1330 | 1.4% | 99 | 99 | $1K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 82 | 80 | $630.05 |
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.