Dental
Tommasone, Erin
Tommasone, Erin was paid $45K by Medicaid between Jul 2018 and Oct 2022, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 50% of everything it billed.
33Billing provider infoTOMMASONE, ERIN
BEDFORD, IN 47421
BEDFORD, IN 47421
33aNPI1598121501assigned 01/06/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$45K
24GClaims1,488
24DCodes billed9
24AFirst – last monthJul 2018 – Oct 2022
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#397 of 723
Median peer was paid$60K
This provider vs. median0.8×
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 | 165 | $344.39 | |
| 2019 | 460 | $16K | |
| 2020 | 310 | $9K | |
| 2021 | 343 | $13K | |
| 2022 | 210 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 50% | 491 | 463 | $22K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 422 | 396 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 247 | 220 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 5.0% | 64 | 51 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 4.7% | 124 | 111 | $2K |
| D0274 | Bitewings - four radiographic images | 2.9% | 38 | 36 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.7% | 28 | 19 | $759.00 |
| D0330 | Panoramic radiographic image | 1.3% | 14 | 12 | $593.60 |
| D1999 | <1% | 60 | 52 | $10.00 |
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.