Dental
Ferguson, Alissa
Ferguson, Alissa was paid $7K by Medicaid between Jan 2019 and Apr 2019, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.
33Billing provider infoFERGUSON, ALISSA
CENTENNIAL, CO 80111
CENTENNIAL, CO 80111
33aNPI1578739553assigned 04/30/2008
33bProvider typeDentist
28Total paid$7K
24GClaims281
24DCodes billed7
24AFirst – last monthJan 2019 – Apr 2019
Compared with peers
Next to other Dentist providers in Colorado
Rank by total paid#254 of 344
Median peer was paid$45K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2019 | 281 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 31% | 50 | 48 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 61 | 58 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 16% | 92 | 86 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 18 | 16 | $678.96 |
| D0230 | Intraoral - periapical each additional radiographic image | 7.7% | 27 | 24 | $516.86 |
| D0274 | Bitewings - four radiographic images | 7.6% | 18 | 17 | $511.56 |
| D0140 | Limited oral evaluation - problem focused | 7.3% | 15 | 15 | $492.15 |
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.