Dental
Sandoval, Andrew
Sandoval, Andrew was paid $112K by Medicaid between Jan 2019 and May 2020, across 14 billing codes. Its largest line is D0330, Panoramic radiographic image — 16% of everything it billed.
33Billing provider infoSANDOVAL, ANDREW
JONESBORO, AR 72401
JONESBORO, AR 72401
33aNPI1588158554assigned 06/21/2018
33bProvider typeDentist
28Total paid$112K
24GClaims2,095
24DCodes billed14
24AFirst – last monthJan 2019 – May 2020
Compared with peers
Next to other Dentist providers in Arkansas
Rank by total paid#66 of 211
Median peer was paid$44K
This provider vs. median2.6×
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 | 1,339 | $75K | |
| 2020 | 756 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 16% | 222 | 222 | $18K |
| D7140 | Extraction, erupted tooth or exposed root | 16% | 196 | 87 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 10% | 98 | 42 | $11K |
| D0140 | Limited oral evaluation - problem focused | 9.4% | 219 | 213 | $11K |
| D1206 | Topical application of fluoride varnish | 8.4% | 333 | 333 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.5% | 185 | 185 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.7% | 39 | 25 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.9% | 147 | 147 | $7K |
| D1110 | Prophylaxis - adult | 4.0% | 83 | 83 | $5K |
| D1351 | Sealant - per tooth | 4.0% | 118 | 29 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 163 | 159 | $4K |
| D0274 | Bitewings - four radiographic images | 3.1% | 90 | 90 | $3K |
2 more codes
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.