Dental
DO, Dominic
DO, Dominic was paid $119K by Medicaid between Jan 2018 and May 2022, across 21 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 13% of everything it billed.
33Billing provider infoDO, DOMINIC
LAS VEGAS, NV 89129
LAS VEGAS, NV 89129
33aNPI1679660484assigned 10/05/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$119K
24GClaims5,935
24DCodes billed21
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other General Practice Dentistry providers in Nevada
Rank by total paid#89 of 247
Median peer was paid$54K
This provider vs. median2.2×
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 | 5,839 | $118K | |
| 2019 | 26 | $202.57 | |
| 2021 | 36 | $663.60 | |
| 2022 | 34 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 13% | 561 | 489 | $15K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 456 | 368 | $15K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 289 | 259 | $14K |
| D1206 | Topical application of fluoride varnish | 9.4% | 355 | 349 | $11K |
| D0274 | Bitewings - four radiographic images | 7.3% | 445 | 402 | $9K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.5% | 231 | 93 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.5% | 1,332 | 566 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 5.4% | 824 | 641 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 5.3% | 169 | 69 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.2% | 231 | 105 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 282 | 218 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.6% | 217 | 215 | $4K |
9 more codes
| D2140 | 3.2% | 189 | $4K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 111 | $3K |
| D1110 | Prophylaxis - adult | 1.4% | 53 | $2K |
| D9110 | 1.3% | 55 | $1K | |
| D1351 | Sealant - per tooth | <1% | 40 | $895.66 |
| D0330 | Panoramic radiographic image | <1% | 22 | $618.60 |
| D5899 | <1% | 24 | $287.00 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 35 | $92.16 |
| D0601 | <1% | 14 | $45.00 |
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.