Dental
Siceloff, Daniel
Siceloff, Daniel was paid $446K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 29% of everything it billed.
33Billing provider infoSICELOFF, DANIEL
LEXINGTON, NC 27295
LEXINGTON, NC 27295
33aNPI1588971790assigned 09/09/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$446K
24GClaims17,207
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in North Carolina
Rank by total paid#226 of 756
Median peer was paid$121K
This provider vs. median3.7×
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 | 3,986 | $102K | |
| 2019 | 2,845 | $72K | |
| 2020 | 2,192 | $58K | |
| 2021 | 2,275 | $59K | |
| 2022 | 1,996 | $50K | |
| 2023 | 1,998 | $53K | |
| 2024incomplete | 1,915 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 29% | 5,230 | 5,063 | $130K |
| D1110 | Prophylaxis - adult | 24% | 2,913 | 2,820 | $108K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 2,542 | 2,467 | $68K |
| D0272 | Bitewings - two radiographic images | 9.3% | 2,320 | 2,262 | $42K |
| D1206 | Topical application of fluoride varnish | 8.8% | 2,504 | 2,427 | $39K |
| D0140 | Limited oral evaluation - problem focused | 4.0% | 532 | 509 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 328 | 316 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.5% | 114 | 93 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.9% | 118 | 83 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 509 | 482 | $7K |
| D0330 | Panoramic radiographic image | <1% | 27 | 27 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 70 | 37 | $699.89 |
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.