Dental
Southward, Justin
Southward, Justin was paid $3K by Medicaid between May 2024 and May 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoSOUTHWARD, JUSTIN
VAN WERT, OH 45891
VAN WERT, OH 45891
33aNPI1316468317assigned 06/29/2017
33bProvider typeDentist
28Total paid$3K
24GClaims85
24DCodes billed5
24AFirst – last monthMay 2024 – May 2024
Compared with peers
Next to other Dentist providers in Ohio
Rank by total paid#588 of 745
Median peer was paid$38K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2024incomplete | 85 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 13 | 13 | $890.24 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 23 | 23 | $746.28 |
| D0150 | Comprehensive oral evaluation - new or established patient | 20% | 13 | 13 | $687.31 |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 18 | 18 | $642.08 |
| D1206 | Topical application of fluoride varnish | 15% | 18 | 18 | $526.15 |
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.