Tackett, John

Tackett, John was paid $209K by Medicaid between Mar 2018 and Mar 2023, across 2 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 98% of everything it billed.

33Billing provider infoTACKETT, JOHN
SALEM, IN 47167

33aNPI1578666426assigned 09/06/2006

33bProvider typeOral and Maxillofacial Surgery (Dentist)

28Total paid$209K

24GClaims1,520

24DCodes billed2

24AFirst – last monthMar 2018 – Mar 2023

Compared with peers

Next to other Oral and Maxillofacial Surgery (Dentist) providers in Indiana

Rank by total paid#40 of 72

Median peer was paid$286K

This provider vs. median0.7×

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	115	$8K
2019	100	$15K
2020	29	$5K
2021	508	$60K
2022	675	$108K
2023	93	$13K

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	98%	1,376	447	$205K
D0140	Limited oral evaluation - problem focused	2.2%	144	136	$5K

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.