Dental
Douglas, David
Douglas, David was paid $67K by Medicaid between May 2018 and Nov 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 51% of everything it billed.
33Billing provider infoDOUGLAS, DAVID
SOUTH BEND, IN 46635
SOUTH BEND, IN 46635
33aNPI1376575076assigned 07/06/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$67K
24GClaims2,379
24DCodes billed6
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#349 of 723
Median peer was paid$60K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2018 | 151 | $843.38 | |
| 2019 | 228 | $6K | |
| 2020 | 371 | $10K | |
| 2021 | 268 | $8K | |
| 2022 | 596 | $18K | |
| 2023 | 535 | $17K | |
| 2024incomplete | 230 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 51% | 694 | 652 | $34K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 29% | 849 | 791 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 7.3% | 361 | 345 | $5K |
| D0274 | Bitewings - four radiographic images | 6.4% | 111 | 103 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.9% | 309 | 281 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 1.6% | 55 | 51 | $1K |
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.