Dental
Collett, Russell
Collett, Russell was paid $38K by Medicaid between Jan 2018 and Mar 2018, across 5 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 37% of everything it billed.
33Billing provider infoCOLLETT, RUSSELL
PORTLAND, ME 04102
PORTLAND, ME 04102
33aNPI1629173711assigned 09/13/2006
33bProvider typeOral and Maxillofacial Pathology Dentist
28Total paid$38K
24GClaims433
24DCodes billed5
24AFirst – last monthJan 2018 – Mar 2018
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 | 433 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 37% | 124 | 54 | $14K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 23% | 132 | 15 | $9K |
| D7240 | Removal of impacted tooth - completely bony | 21% | 68 | 14 | $8K |
| D9222 | 17% | 66 | 48 | $7K | |
| D0140 | Limited oral evaluation - problem focused | 2.2% | 43 | 42 | $840.00 |
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.