Dental
Tyack, James
Tyack, James was paid $13K by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 14% of everything it billed.
33Billing provider infoTYACK, JAMES
CLATSKANIE, OR 97016
CLATSKANIE, OR 97016
33aNPI1699799973assigned 07/27/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$13K
24GClaims21,758
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#133 of 311
Median peer was paid$6K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2018 | 3,215 | $987.00 | |
| 2019 | 283 | $13.00 | |
| 2021 | 222 | $0.00 | |
| 2022 | 5,919 | $4K | |
| 2023 | 7,071 | $6K | |
| 2024incomplete | 5,048 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 919 | 898 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 575 | 562 | $2K |
| D0140 | Limited oral evaluation - problem focused | 13% | 1,176 | 1,120 | $2K |
| D1110 | Prophylaxis - adult | 11% | 1,129 | 1,112 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 7.0% | 2,642 | 2,559 | $910.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.8% | 1,010 | 976 | $756.00 |
| D0274 | Bitewings - four radiographic images | 5.2% | 1,224 | 1,192 | $667.00 |
| D1206 | Topical application of fluoride varnish | 5.0% | 1,863 | 1,830 | $644.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.8% | 266 | 184 | $616.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 4.6% | 1,071 | 1,054 | $600.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 4.6% | 2,298 | 1,814 | $594.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.8% | 278 | 219 | $497.00 |
17 more codes
| D1351 | Sealant - per tooth | 2.4% | 145 | $315.00 |
| D0603 | 2.3% | 744 | $297.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 1.9% | 60 | $240.00 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 26 | $110.00 |
| D0270 | <1% | 288 | $99.00 | |
| D0272 | Bitewings - two radiographic images | <1% | 138 | $60.00 |
| D0330 | Panoramic radiographic image | <1% | 107 | $52.00 |
| D0601 | <1% | 37 | $11.00 | |
| D1310 | <1% | 2,194 | $10.00 | |
| D1330 | <1% | 3,079 | $10.00 | |
| D0190 | 0% | 205 | $0.00 | |
| D0191 | 0% | 105 | $0.00 | |
| D4341 | 0% | 24 | $0.00 | |
| D9995 | 0% | 73 | $0.00 | |
| D4355 | 0% | 12 | $0.00 | |
| D0602 | 0% | 33 | $0.00 | |
| D0999 | Unspecified diagnostic procedure, by report | 0% | 37 | $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.