Dental
James H. Tyack DMD PC
James H. Tyack DMD PC was paid $27K by Medicaid between Jan 2018 and Jan 2019, across 26 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 14% of everything it billed.
33Billing provider infoJAMES H. TYACK DMD PC
CLATSKANIE, OR 97016
CLATSKANIE, OR 97016
33aNPI1578587192assigned 07/27/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$27K
24GClaims22,627
24DCodes billed26
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#104 of 311
Median peer was paid$6K
This provider vs. median4.3×
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 | |
|---|---|---|---|
| 2018 | 22,006 | $27K | |
| 2019 | 621 | $576.99 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 14% | 257 | 124 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 1,262 | 884 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.7% | 1,954 | 1,946 | $3K |
| D1110 | Prophylaxis - adult | 9.6% | 1,115 | 1,083 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 8.1% | 939 | 431 | $2K |
| D0140 | Limited oral evaluation - problem focused | 7.8% | 1,853 | 1,822 | $2K |
| D1206 | Topical application of fluoride varnish | 6.7% | 2,562 | 2,505 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.0% | 752 | 517 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 2,960 | 2,904 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.2% | 1,189 | 1,177 | $1K |
| D0274 | Bitewings - four radiographic images | 4.3% | 1,238 | 1,212 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 934 | 930 | $1K |
14 more codes
| D0210 | Intraoral - complete series of radiographic images | 2.1% | 520 | $573.17 |
| D0330 | Panoramic radiographic image | 1.8% | 845 | $505.90 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 2,197 | $495.74 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.0% | 199 | $280.63 |
| D0270 | <1% | 571 | $160.01 | |
| D2950 | <1% | 48 | $135.11 | |
| D1351 | Sealant - per tooth | <1% | 316 | $42.48 |
| D0272 | Bitewings - two radiographic images | <1% | 53 | $16.73 |
| D0190 | 0% | 244 | $0.00 | |
| D9987 | 0% | 203 | $0.00 | |
| D2332 | 0% | 35 | $0.00 | |
| D0999 | Unspecified diagnostic procedure, by report | 0% | 316 | $0.00 |
| D2931 | 0% | 46 | $0.00 | |
| D4355 | 0% | 19 | $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.
From NPPES
Who's on the registration
Authorized officialTYACK, JAMES (PRESIDENT)