Dental
Lowe, Ethan
Lowe, Ethan was paid $680.00 by Medicaid between Nov 2024 and Dec 2024, across 1 billing code. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.
33Billing provider infoLOWE, ETHAN
STATE COLLEGE, PA 16803
STATE COLLEGE, PA 16803
33aNPI1487792982assigned 02/05/2007
33bProvider typeDentist
28Total paid$680.00
24GClaims38
24DCodes billed1
24AFirst – last monthNov 2024 – Dec 2024
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#636 of 683
Median peer was paid$34K
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 | 38 | $680.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 100% | 38 | 38 | $680.00 |
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.