Butterworth, Alice

Butterworth, Alice was paid $24K by Medicaid between Jan 2018 and Jun 2019, across 11 billing codes. Its largest line is D2140, — 18% of everything it billed.

33Billing provider infoBUTTERWORTH, ALICE
MARION, IN 46952

33aNPI1548202153assigned 06/11/2006

33bProvider typePediatric Dentist

28Total paid$24K

24GClaims2,817

24DCodes billed11

24AFirst – last monthJan 2018 – Jun 2019

Compared with peers

Next to other Pediatric Dentist providers in Indiana

Rank by total paid#116 of 155

Median peer was paid$414K

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
2018	2,163	$10K
2019	654	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2140		18%	270	134	$4K
D1208	Topical application of fluoride, excluding varnish	18%	682	546	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	654	518	$4K
D1120	Dental cleaning, childProphylaxis - child	18%	459	374	$4K
D2150	Silver amalgam - two surfaces, primary or permanent	7.8%	171	70	$2K
D1110	Prophylaxis - adult	5.6%	112	88	$1K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	4.9%	99	71	$1K
D0272	Bitewings - two radiographic images	4.4%	117	99	$1K
D0210	Intraoral - complete series of radiographic images	2.1%	14	12	$505.75
D9248		1.8%	176	149	$423.50
D1351	Sealant - per tooth	0%	63	15	$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.