Augustine, Amy

Augustine, Amy was paid $22K by Medicaid between Jan 2018 and Sep 2018, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.

33Billing provider infoAUGUSTINE, AMY
NAPOLEON, OH 43545

33aNPI1689093148assigned 04/14/2014

33bProvider typePediatric Dentist

28Total paid$22K

24GClaims884

24DCodes billed8

24AFirst – last monthJan 2018 – Sep 2018

Compared with peers

Next to other Pediatric Dentist providers in Ohio

Rank by total paid#106 of 144

Median peer was paid$140K

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	884	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	27%	227	227	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	249	249	$5K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	17%	59	45	$4K
D0272	Bitewings - two radiographic images	8.9%	121	121	$2K
D1208	Topical application of fluoride, excluding varnish	8.8%	129	129	$2K
D7140	Extraction, erupted tooth or exposed root	7.2%	21	12	$2K
D1206	Topical application of fluoride varnish	4.2%	62	62	$930.00
D2391	Resin-based composite - one surface, posterior, primary or permanent	3.7%	16	13	$819.36

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.