Dental
Bouwsma, Otis
Bouwsma, Otis was paid $630K by Medicaid between Jul 2019 and Dec 2024, across 26 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.
33Billing provider infoBOUWSMA, OTIS
BROWNSVILLE, TX 78521
BROWNSVILLE, TX 78521
33aNPI1679661441assigned 10/10/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$630K
24GClaims58,737
24DCodes billed26
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#460 of 2,774
Median peer was paid$43K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2019 | 91 | $472.85 | |
| 2020 | 756 | $5K | |
| 2021 | 13,795 | $152K | |
| 2022 | 17,211 | $195K | |
| 2023 | 16,871 | $174K | |
| 2024incomplete | 10,013 | $102K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 22% | 2,989 | 2,748 | $137K |
| D0274 | Bitewings - four radiographic images | 11% | 2,822 | 2,578 | $72K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 3,277 | 3,025 | $72K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.9% | 10,253 | 3,311 | $63K |
| D1208 | Topical application of fluoride, excluding varnish | 8.2% | 4,269 | 3,921 | $52K |
| D0220 | Intraoral - periapical first radiographic image | 6.1% | 3,939 | 3,553 | $39K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.6% | 1,131 | 1,049 | $35K |
| D1351 | Sealant - per tooth | 5.5% | 2,251 | 300 | $35K |
| D0330 | Panoramic radiographic image | 3.5% | 954 | 859 | $22K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.4% | 396 | 170 | $22K |
| D0145 | Oral evaluation for a patient under three years of age | 3.3% | 184 | 167 | $21K |
| D1330 | 3.3% | 9,441 | 7,566 | $21K |
14 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 578 | $14K |
| D9430 | 1.2% | 388 | $8K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 62 | $5K |
| D0272 | Bitewings - two radiographic images | <1% | 233 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 71 | $3K |
| D0240 | <1% | 314 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 744 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 236 | $2K |
| D0180 | <1% | 49 | $1K | |
| D1354 | <1% | 284 | $302.98 | |
| D0603 | <1% | 8,334 | $0.15 | |
| D0601 | 0% | 455 | $0.00 | |
| D0602 | 0% | 12 | $0.00 | |
| D1999 | 0% | 5,071 | $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.