Dotson, Ana

Dotson, Ana was paid $33K by Medicaid between Jan 2018 and Jun 2018, across 9 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 19% of everything it billed.

33Billing provider infoDOTSON, ANA
SALLISAW, OK 74955

33aNPI1619063781assigned 10/05/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$33K

24GClaims1,170

24DCodes billed9

24AFirst – last monthJan 2018 – Jun 2018

Compared with peers

Next to other General Practice Dentistry providers in Oklahoma

Rank by total paid#201 of 284

Median peer was paid$172K

This provider vs. median0.2×

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	1,170	$33K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2391	Resin-based composite - one surface, posterior, primary or permanent	19%	121	75	$6K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	16%	69	51	$5K
D1120	Dental cleaning, childProphylaxis - child	14%	172	172	$5K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	13%	187	166	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	225	225	$4K
D1110	Prophylaxis - adult	10%	82	82	$3K
D0272	Bitewings - two radiographic images	6.9%	140	140	$2K
D1208	Topical application of fluoride, excluding varnish	6.1%	148	148	$2K
D0220	Intraoral - periapical first radiographic image	1.1%	26	26	$366.34

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.