Dental
Coburn, Richard
Coburn, Richard was paid $254.00 by Medicaid between Jan 2018 and Sep 2019, across 14 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 43% of everything it billed.
33Billing provider infoCOBURN, RICHARD
LAKE HAVASU CITY, AZ 86403
LAKE HAVASU CITY, AZ 86403
33aNPI1699931691assigned 07/30/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$254.00
24GClaims5,775
24DCodes billed14
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#314 of 530
Median peer was paid$920.17
This provider vs. median0.3×
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 | 3,207 | $254.00 | |
| 2019 | 2,568 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 43% | 37 | 27 | $110.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 779 | 743 | $40.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 724 | 687 | $32.00 |
| D0272 | Bitewings - two radiographic images | 9.1% | 595 | 557 | $23.00 |
| D0220 | Intraoral - periapical first radiographic image | 7.9% | 800 | 736 | $20.00 |
| D1206 | Topical application of fluoride varnish | 7.5% | 902 | 860 | $19.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 3.9% | 757 | 677 | $10.00 |
| D1110 | Prophylaxis - adult | 0% | 210 | 202 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 34 | 25 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 17 | 13 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 13 | 13 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 463 | 213 | $0.00 |
2 more codes
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.