Pine, Tyler
Pine, Tyler was paid $362.50 by Medicaid between Dec 2022 and Mar 2023, across 8 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 60% of everything it billed.
33Billing provider infoPINE, TYLER
LAS VEGAS, NV 89102
LAS VEGAS, NV 89102
33aNPI1518690593assigned 07/06/2022
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$362.50
24GClaims1,232
24DCodes billed8
24AFirst – last monthDec 2022 – Mar 2023
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Nevada
Rank by total paid#52 of 61
Median peer was paid$20K
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 | |
|---|---|---|---|
| 2022 | 337 | $0.00 | |
| 2023 | 895 | $362.50 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 60% | 342 | 332 | $217.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 40% | 363 | 353 | $145.50 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 257 | 42 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 20 | 19 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 46 | 45 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 74 | 72 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 17 | 17 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 113 | 112 | $0.00 |
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.