Sanders, Cody

Sanders, Cody was paid $11K by Medicaid between Aug 2019 and Mar 2020, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 37% of everything it billed.

33Billing provider infoSANDERS, CODY
MALVERN, AR 72104

33aNPI1538720669assigned 06/28/2019

33bProvider typeDentist

28Total paid$11K

24GClaims419

24DCodes billed5

24AFirst – last monthAug 2019 – Mar 2020

Compared with peers

Next to other Dentist providers in Arkansas

Rank by total paid#154 of 211

Median peer was paid$44K

This provider vs. median0.3×

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	292	$8K
2020	127	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	37%	161	159	$4K
D1110	Prophylaxis - adult	21%	50	48	$2K
D1208	Topical application of fluoride, excluding varnish	20%	113	113	$2K
D0272	Bitewings - two radiographic images	18%	83	83	$2K
D1120	Dental cleaning, childProphylaxis - child	3.9%	12	12	$433.20

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.