Dental
Ausmus, Mathew
Ausmus, Mathew was paid $187K by Medicaid between Jan 2018 and Jul 2020, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.
33Billing provider infoAUSMUS, MATHEW
ROLLA, MO 65401
ROLLA, MO 65401
33aNPI1518957778assigned 10/27/2005
33bProvider typePediatric Dentist
28Total paid$187K
24GClaims8,546
24DCodes billed9
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Pediatric Dentist providers in Missouri
Rank by total paid#15 of 39
Median peer was paid$73K
This provider vs. median2.6×
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 | 4,582 | $98K | |
| 2019 | 2,840 | $65K | |
| 2020 | 1,124 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 2,349 | 2,297 | $59K |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 1,890 | 1,846 | $42K |
| D1206 | Topical application of fluoride varnish | 19% | 2,459 | 2,407 | $35K |
| D0272 | Bitewings - two radiographic images | 8.8% | 1,083 | 1,063 | $16K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.0% | 213 | 169 | $15K |
| D1110 | Prophylaxis - adult | 5.2% | 331 | 329 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.0% | 170 | 125 | $9K |
| D0140 | Limited oral evaluation - problem focused | <1% | 39 | 35 | $924.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | 12 | $474.00 |
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.