Dental
Elliott, Thomas
Elliott, Thomas was paid $963.79 by Medicaid between Nov 2020 and Nov 2020, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 68% of everything it billed.
33Billing provider infoELLIOTT, THOMAS
CICERO, IN 46034
CICERO, IN 46034
33aNPI1689710170assigned 01/30/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$963.79
24GClaims24
24DCodes billed2
24AFirst – last monthNov 2020 – Nov 2020
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#636 of 723
Median peer was paid$60K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2020 | 24 | $963.79 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 68% | 12 | 12 | $658.98 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 32% | 12 | 12 | $304.81 |
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.