Dental
Irwin, Toni
Irwin, Toni was paid $459K by Medicaid between Jan 2018 and Jan 2023, across 20 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.
33Billing provider infoIRWIN, TONI
ELIZABETHTOWN, KY 42701
ELIZABETHTOWN, KY 42701
33aNPI1700876851assigned 10/28/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$459K
24GClaims20,458
24DCodes billed20
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other General Practice Dentistry providers in Kentucky
Rank by total paid#99 of 462
Median peer was paid$106K
This provider vs. median4.3×
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 | 3,658 | $97K | |
| 2019 | 4,356 | $111K | |
| 2020 | 3,431 | $70K | |
| 2021 | 4,287 | $86K | |
| 2022 | 4,544 | $91K | |
| 2023 | 182 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 21% | 2,778 | 2,708 | $98K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 2,665 | 2,607 | $61K |
| D0330 | Panoramic radiographic image | 12% | 1,634 | 1,595 | $57K |
| D0274 | Bitewings - four radiographic images | 12% | 2,632 | 2,573 | $57K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.0% | 827 | 576 | $41K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.9% | 991 | 968 | $41K |
| D1208 | Topical application of fluoride, excluding varnish | 5.5% | 1,951 | 1,918 | $25K |
| D9110 | 4.4% | 1,054 | 1,019 | $20K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.9% | 1,111 | 1,081 | $18K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.2% | 249 | 194 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 1,309 | 1,281 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 142 | 104 | $6K |
8 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.