Charles, Tracey

Charles, Tracey was paid $84K by Medicaid between Jan 2018 and May 2022, across 10 billing codes. Its largest line is D5110, — 28% of everything it billed.

33Billing provider infoCHARLES, TRACEY
BEMIDJI, MN 56601

33aNPI1437238052assigned 11/03/2006

33bProvider typePublic Health Dentist

28Total paid$84K

24GClaims4,215

24DCodes billed10

24AFirst – last monthJan 2018 – May 2022

Compared with peers

Next to other Public Health Dentist providers in Minnesota

Rank by total paid#10 of 11

Median peer was paid$382K

This provider vs. median0.2×

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	1,238	$2K
2019	1,037	$23K
2020	755	$20K
2021	754	$30K
2022	431	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D5110		28%	66	65	$24K
D7140	Extraction, erupted tooth or exposed root	24%	561	177	$20K
D0140	Limited oral evaluation - problem focused	20%	1,094	1,064	$17K
D0330	Panoramic radiographic image	11%	386	385	$9K
D0220	Intraoral - periapical first radiographic image	6.9%	886	840	$6K
D0230	Intraoral - periapical each additional radiographic image	5.0%	997	491	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	3.2%	127	127	$3K
D0150	Comprehensive oral evaluation - new or established patient	1.5%	70	70	$1K
D1110	Prophylaxis - adult	<1%	14	14	$477.26
D1206	Topical application of fluoride varnish	<1%	14	14	$251.72

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.