Dental
OIG excluded
Tackett, Denver
Tackett, Denver was paid $471K by Medicaid between Jan 2018 and Apr 2019, across 19 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 22% of everything it billed.
33Billing provider infoTACKETT, DENVER
MINNIE, KY 41651
MINNIE, KY 41651
33aNPI1306936844assigned 10/13/2006
33bProvider typeDentist
28Total paid$471K
24GClaims11,675
24DCodes billed19
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Dentist providers in Kentucky
Rank by total paid#79 of 350
Median peer was paid$95K
This provider vs. median4.9×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
OIG exclusionListed on the federal exclusion list (06/17/2021).
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 | 9,566 | $391K | |
| 2019 | 2,109 | $80K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 22% | 2,681 | 758 | $106K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 16% | 1,186 | 436 | $77K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 1,110 | 575 | $55K |
| D2335 | 7.8% | 544 | 259 | $37K | |
| D0330 | Panoramic radiographic image | 6.1% | 854 | 813 | $29K |
| D2332 | 5.4% | 433 | 248 | $26K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 1,075 | 1,028 | $25K |
| D7140 | Extraction, erupted tooth or exposed root | 4.4% | 586 | 325 | $21K |
| D1110 | Prophylaxis - adult | 4.0% | 568 | 544 | $19K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.6% | 310 | 227 | $17K |
| D2331 | 3.2% | 298 | 191 | $15K | |
| D2330 | 2.7% | 321 | 194 | $13K |
7 more codes
| D0274 | Bitewings - four radiographic images | 2.0% | 443 | $10K |
| D9110 | 2.0% | 488 | $9K | |
| D2394 | 1.2% | 92 | $6K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 541 | $4K |
| D1120 | Dental cleaning, child | <1% | 63 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 56 | $675.00 |
| D0272 | Bitewings - two radiographic images | <1% | 26 | $381.08 |
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.