Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Mt Sterling › NPI 1366676603
Dental

Sexton, William

Sexton, William was paid $368K by Medicaid between Jan 2018 and Aug 2022, across 11 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 36% of everything it billed.

33Billing provider infoSEXTON, WILLIAM
MT STERLING, KY 40353
33aNPI1366676603assigned 05/13/2009
33bProvider typeDentist
28Total paid$368K
24GClaims4,266
24DCodes billed11
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers

Next to other Dentist providers in Kentucky

Rank by total paid#94 of 350
Median peer was paid$95K
This provider vs. median3.9×

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.

Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20182,266$178K
20222,000$190K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7240 Removal of impacted tooth - completely bony 36% 704 232 $133K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 17% 731 201 $63K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 16% 765 386 $58K
D7140 Extraction, erupted tooth or exposed root 6.5% 536 142 $24K
D0150 Comprehensive oral evaluation - new or established patient 6.4% 494 482 $24K
D9222 4.2% 199 198 $15K
D7230 4.2% 92 61 $15K
D0330 Panoramic radiographic image 4.0% 389 381 $15K
D7250 3.9% 147 25 $14K
D9610 1.6% 146 145 $6K
D9986 0% 63 63 $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.