Ellis, Brent

Ellis, Brent was paid $124K by Medicaid between Jan 2018 and Mar 2023, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 36% of everything it billed.

33Billing provider infoELLIS, BRENT
LINTON, IN 47441

33aNPI1578695839assigned 03/12/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$124K

24GClaims3,848

24DCodes billed11

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#284 of 723

Median peer was paid$60K

This provider vs. median2.1×

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	487	$869.76
2019	542	$17K
2020	643	$24K
2021	974	$35K
2022	923	$38K
2023	279	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	36%	1,210	1,031	$44K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	998	863	$17K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	14%	291	169	$17K
D0330	Panoramic radiographic image	11%	256	185	$13K
D2391	Resin-based composite - one surface, posterior, primary or permanent	8.6%	224	118	$11K
D0274	Bitewings - four radiographic images	5.8%	278	228	$7K
D0150	Comprehensive oral evaluation - new or established patient	5.2%	233	170	$6K
D1208	Topical application of fluoride, excluding varnish	3.2%	253	224	$4K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	2.5%	36	27	$3K
D0220	Intraoral - periapical first radiographic image	<1%	57	48	$653.38
D1120	Dental cleaning, childProphylaxis - child	<1%	12	12	$414.00

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.