Tidwell, Scott

Tidwell, Scott was paid $6K by Medicaid between Jan 2019 and Apr 2019, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 45% of everything it billed.

33Billing provider infoTIDWELL, SCOTT
ARVADA, CO 80005

33aNPI1538153481assigned 09/07/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$6K

24GClaims243

24DCodes billed5

24AFirst – last monthJan 2019 – Apr 2019

Compared with peers

Next to other General Practice Dentistry providers in Colorado

Rank by total paid#423 of 521

Median peer was paid$53K

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
2019	243	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	45%	61	53	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	68	59	$2K
D0220	Intraoral - periapical first radiographic image	17%	82	69	$998.54
D0274	Bitewings - four radiographic images	7.0%	14	12	$397.88
D0230	Intraoral - periapical each additional radiographic image	3.8%	18	14	$216.36

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.