Dental
Matthew Ticola DMD LLC
Matthew Ticola DMD LLC was paid $1.17M by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 27% of everything it billed.
33Billing provider infoMATTHEW TICOLA DMD LLC
GUNTERSVILLE, AL 35976
GUNTERSVILLE, AL 35976
33aNPI1699202960assigned 05/17/2017
33bProvider typePediatric Dentist
28Total paid$1.17M
24GClaims47,981
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Alabama
Rank by total paid#49 of 111
Median peer was paid$708K
This provider vs. median1.6×
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 | 6,046 | $225K | |
| 2019 | 7,769 | $228K | |
| 2020 | 6,209 | $151K | |
| 2021 | 7,124 | $164K | |
| 2022 | 5,859 | $109K | |
| 2023 | 7,281 | $132K | |
| 2024incomplete | 7,693 | $159K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 27% | 3,948 | 758 | $315K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 4,464 | 4,374 | $141K |
| D1208 | Topical application of fluoride, excluding varnish | 9.2% | 7,230 | 6,966 | $107K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.4% | 11,076 | 3,845 | $98K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.3% | 3,990 | 3,894 | $85K |
| D0220 | Intraoral - periapical first radiographic image | 5.3% | 5,802 | 5,479 | $61K |
| D2335 | 3.9% | 502 | 163 | $46K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.8% | 1,988 | 1,812 | $44K |
| D7140 | Extraction, erupted tooth or exposed root | 3.6% | 929 | 326 | $42K |
| D0272 | Bitewings - two radiographic images | 3.5% | 2,484 | 2,376 | $41K |
| D0140 | Limited oral evaluation - problem focused | 3.3% | 1,454 | 1,378 | $39K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.2% | 542 | 225 | $38K |
10 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 564 | $30K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.1% | 407 | $24K |
| D1999 | 1.4% | 903 | $16K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 446 | $16K |
| D0330 | Panoramic radiographic image | <1% | 174 | $9K |
| D1351 | Sealant - per tooth | <1% | 270 | $6K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 132 | $3K |
| D1510 | <1% | 16 | $3K | |
| D2330 | <1% | 22 | $1K | |
| D9420 | 0% | 638 | $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.
From NPPES
Who's on the registration
Authorized officialTICOLA, MATTHEW (MANAGER)