Cannon, Cade

Cannon, Cade was paid $36K by Medicaid between Jan 2018 and Oct 2018, across 11 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 37% of everything it billed.

33Billing provider infoCANNON, CADE
ALLIANCE, NE 69301

33aNPI1538689880assigned 06/27/2017

33bProvider typeDentist

28Total paid$36K

24GClaims1,258

24DCodes billed11

24AFirst – last monthJan 2018 – Oct 2018

Compared with peers

Next to other Dentist providers in Nebraska

Rank by total paid#51 of 119

Median peer was paid$24K

This provider vs. median1.5×

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	1,258	$36K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	37%	180	74	$13K
D1110	Prophylaxis - adult	12%	130	130	$4K
D1206	Topical application of fluoride varnish	11%	207	207	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	175	175	$4K
D0274	Bitewings - four radiographic images	8.4%	164	164	$3K
D0140	Limited oral evaluation - problem focused	7.0%	126	123	$3K
D1120	Dental cleaning, childProphylaxis - child	5.6%	78	78	$2K
D0150	Comprehensive oral evaluation - new or established patient	4.0%	67	67	$1K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2.1%	14	12	$767.00
D0220	Intraoral - periapical first radiographic image	1.6%	103	98	$589.00
D0272	Bitewings - two radiographic images	<1%	14	14	$169.00

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.