Dental
Richard W Blake DDS PA
Richard W Blake DDS PA was paid $205K by Medicaid between Dec 2019 and Jul 2020, across 25 billing codes. Its largest line is D0120, dental checkup, returning patient — 19% of everything it billed.
33Billing provider infoRICHARD W BLAKE DDS PA
JACKSONVILLE, FL 32211
JACKSONVILLE, FL 32211
33aNPI1558701177assigned 06/27/2013
33bProvider typePediatric Dentist
28Total paid$205K
24GClaims6,882
24DCodes billed25
24AFirst – last monthDec 2019 – Jul 2020
Compared with peers
Next to other Pediatric Dentist providers in Florida
Rank by total paid#103 of 246
Median peer was paid$107K
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 | 14 | $2K | |
| 2020 | 6,868 | $203K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 553 | 549 | $39K |
| D9248 | 14% | 394 | 387 | $29K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 266 | 141 | $22K |
| D1351 | Sealant - per tooth | 10% | 335 | 121 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.3% | 273 | 273 | $19K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.9% | 347 | 159 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | 5.0% | 364 | 155 | $10K |
| D3120 | 4.7% | 131 | 95 | $10K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.9% | 63 | 43 | $8K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 17 | 15 | $6K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.4% | 86 | 50 | $5K |
| D0272 | Bitewings - two radiographic images | 1.9% | 591 | 590 | $4K |
13 more codes
| D1330 | 1.4% | 823 | $3K | |
| D1120 | Dental cleaning, child | 1.3% | 601 | $3K |
| D9920 | 1.2% | 144 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 163 | $2K |
| D1510 | 1.1% | 28 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.1% | 831 | $2K |
| D0330 | Panoramic radiographic image | <1% | 125 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 44 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 154 | $722.32 |
| D0240 | <1% | 306 | $691.74 | |
| D1110 | Prophylaxis - adult | <1% | 164 | $276.63 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 16 | $198.65 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 63 | $130.56 |
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.
From NPPES
Who's on the registration
Authorized officialBLAKE, RICHARD (OWNER/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Cottonwood Creek Clinic LLC | Wasilla, AK | $835K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.