Dental
Philippe Bautista DMD LLC
Philippe Bautista DMD LLC was paid $2K by Medicaid between May 2024 and Oct 2024, across 2 billing codes. Its largest line is D1120, dental cleaning, child — 65% of everything it billed.
33Billing provider infoPHILIPPE BAUTISTA DMD LLC
JEFFERSONVILLE, IN 47130
JEFFERSONVILLE, IN 47130
33aNPI1417633348assigned 06/26/2023
33bProvider typePediatric Dentist
28Total paid$2K
24GClaims66
24DCodes billed2
24AFirst – last monthMay 2024 – Oct 2024
Compared with peers
Next to other Pediatric Dentist providers in Indiana
Rank by total paid#140 of 155
Median peer was paid$414K
This provider vs. median0.0×
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 | 66 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 65% | 38 | 38 | $1K |
| D1206 | Topical application of fluoride varnish | 35% | 28 | 28 | $556.25 |
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.
From NPPES
Who's on the registration
Authorized officialBAUTISTA, PHILIPPE (OWNER)