Clinic
Tracie L. Vestal DDS PA
Tracie L. Vestal DDS PA was paid $33K by Medicaid between Jan 2018 and Apr 2018, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 21% of everything it billed.
33Billing provider infoTRACIE L. VESTAL DDS PA
ELIZABETHTOWN, NC 28337
ELIZABETHTOWN, NC 28337
33aNPI1508039405assigned 04/11/2008
33bProvider typeDental Clinic/Center
28Total paid$33K
24GClaims1,383
24DCodes billed11
24AFirst – last monthJan 2018 – Apr 2018
Compared with peers
Next to other Dental Clinic/Center providers in North Carolina
Rank by total paid#82 of 105
Median peer was paid$224K
This provider vs. median0.1×
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 | 1,383 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 306 | 294 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 254 | 248 | $6K |
| D1351 | Sealant - per tooth | 16% | 226 | 69 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 318 | 308 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 41 | 29 | $4K |
| D1110 | Prophylaxis - adult | 8.8% | 86 | 81 | $3K |
| D0272 | Bitewings - two radiographic images | 4.8% | 97 | 96 | $2K |
| D0330 | Panoramic radiographic image | 1.9% | 15 | 13 | $619.52 |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 14 | 12 | $451.22 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 12 | 12 | $424.10 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 14 | 14 | $198.52 |
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 officialVESTAL, TRACIE (OWNER)