Dental
Bacon, Paul
Bacon, Paul was paid $164K by Medicaid between Jan 2018 and May 2018, across 14 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 38% of everything it billed.
33Billing provider infoBACON, PAUL
CLEVELAND, TN 37312
CLEVELAND, TN 37312
33aNPI1477538809assigned 12/08/2005
33bProvider typePediatric Dentist
28Total paid$164K
24GClaims3,319
24DCodes billed14
24AFirst – last monthJan 2018 – May 2018
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#77 of 112
Median peer was paid$1.03M
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 | 3,319 | $164K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 38% | 622 | 251 | $63K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 21% | 460 | 204 | $34K |
| D7140 | Extraction, erupted tooth or exposed root | 7.7% | 205 | 102 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.5% | 405 | 397 | $12K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.0% | 348 | 334 | $10K |
| D2140 | 5.5% | 152 | 110 | $9K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.0% | 349 | 348 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 3.7% | 329 | 328 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 113 | 112 | $3K |
| D0272 | Bitewings - two radiographic images | 1.7% | 181 | 180 | $3K |
| D2330 | 1.0% | 34 | 17 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 62 | 58 | $840.50 |
2 more codes
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.