Dental
Ptacek, Tina
Ptacek, Tina was paid $21K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.
33Billing provider infoPTACEK, TINA
SURPRISE, AZ 85388
SURPRISE, AZ 85388
33aNPI1649403775assigned 08/24/2009
33bProvider typePediatric Dentist
28Total paid$21K
24GClaims19,295
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#118 of 223
Median peer was paid$24K
This provider vs. median0.9×
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 | 3,690 | $618.00 | |
| 2019 | 4,657 | $16K | |
| 2020 | 671 | $3K | |
| 2021 | 3,160 | $726.06 | |
| 2022 | 2,730 | $0.00 | |
| 2023 | 2,423 | $0.00 | |
| 2024incomplete | 1,964 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 2,626 | 2,574 | $6K |
| D1206 | Topical application of fluoride varnish | 15% | 2,134 | 2,114 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 9.6% | 66 | 24 | $2K |
| D0272 | Bitewings - two radiographic images | 8.3% | 1,011 | 976 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.2% | 2,413 | 2,367 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.0% | 200 | 191 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 5.4% | 2,129 | 2,054 | $1K |
| D1351 | Sealant - per tooth | 5.4% | 776 | 239 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.9% | 96 | 55 | $598.43 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.4% | 310 | 286 | $495.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 3,179 | 1,640 | $461.16 |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.8% | 22 | 13 | $365.82 |
10 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 34 | $137.76 |
| D1110 | Prophylaxis - adult | <1% | 77 | $95.12 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 518 | $86.60 |
| D1354 | <1% | 314 | $77.40 | |
| D0330 | Panoramic radiographic image | 0% | 25 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 154 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 43 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 56 | $0.00 |
| D1330 | 0% | 2,148 | $0.00 | |
| D0603 | 0% | 964 | $0.00 |
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.