Dental
Sinclair, Stephen
Sinclair, Stephen was paid $498K by Medicaid between Feb 2018 and Dec 2024, across 12 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 42% of everything it billed.
33Billing provider infoSINCLAIR, STEPHEN
FARMINGTON, WV 26571
FARMINGTON, WV 26571
33aNPI1578670139assigned 08/23/2006
33bProvider typeDentist
28Total paid$498K
24GClaims12,658
24DCodes billed12
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in West Virginia
Rank by total paid#21 of 112
Median peer was paid$60K
This provider vs. median8.3×
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 | 1,227 | $44K | |
| 2019 | 1,167 | $35K | |
| 2020 | 1,955 | $72K | |
| 2021 | 2,027 | $83K | |
| 2022 | 2,359 | $98K | |
| 2023 | 1,992 | $80K | |
| 2024incomplete | 1,931 | $86K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 42% | 2,656 | 1,235 | $207K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 18% | 2,183 | 1,805 | $91K |
| D0140 | Limited oral evaluation - problem focused | 18% | 2,504 | 2,024 | $90K |
| D0220 | Intraoral - periapical first radiographic image | 10% | 2,922 | 2,396 | $50K |
| D1208 | Topical application of fluoride, excluding varnish | 3.3% | 799 | 736 | $16K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.4% | 466 | 430 | $12K |
| D0272 | Bitewings - two radiographic images | 2.2% | 414 | 385 | $11K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.8% | 256 | 229 | $9K |
| D1110 | Prophylaxis - adult | <1% | 90 | 90 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 320 | 272 | $4K |
| D0330 | Panoramic radiographic image | <1% | 26 | 26 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 22 | 22 | $680.00 |
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.