Dental
Evans, George
Evans, George was paid $3K by Medicaid between Jan 2018 and Jun 2019, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.
33Billing provider infoEVANS, GEORGE
OTTUMWA, IA 52501
OTTUMWA, IA 52501
33aNPI1689748071assigned 11/20/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$3K
24GClaims158
24DCodes billed6
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other General Practice Dentistry providers in Iowa
Rank by total paid#334 of 437
Median peer was paid$22K
This provider vs. median0.1×
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 | 120 | $2K | |
| 2019 | 38 | $802.42 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 34% | 32 | 32 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 26% | 59 | 59 | $842.83 |
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 24 | 24 | $605.31 |
| D0330 | Panoramic radiographic image | 13% | 12 | 12 | $441.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.0% | 13 | 13 | $196.44 |
| D0603 | 2.7% | 18 | 18 | $90.00 |
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.