Dental
Gibson, Scott
Gibson, Scott was paid $28K by Medicaid between Oct 2019 and Jun 2021, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 80% of everything it billed.
33Billing provider infoGIBSON, SCOTT
ADRIAN, MI 49221
ADRIAN, MI 49221
33aNPI1528595501assigned 05/22/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$28K
24GClaims911
24DCodes billed7
24AFirst – last monthOct 2019 – Jun 2021
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#624 of 1,554
Median peer was paid$15K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2019 | 16 | $2K | |
| 2020 | 591 | $16K | |
| 2021 | 304 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 80% | 207 | 203 | $22K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 250 | 246 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.3% | 12 | 12 | $2K |
| D1206 | Topical application of fluoride varnish | 1.3% | 279 | 275 | $359.99 |
| D1110 | Prophylaxis - adult | <1% | 25 | 25 | $49.67 |
| D0274 | Bitewings - four radiographic images | 0% | 96 | 96 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 42 | 38 | $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.