Mack, Stephen

Mack, Stephen was paid $265K by Medicaid between Jan 2018 and Mar 2021, across 14 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 28% of everything it billed.

33Billing provider infoMACK, STEPHEN
SPRINGFIELD, MO 65804

33aNPI1710207790assigned 06/02/2010

33bProvider typeDentist

28Total paid$265K

24GClaims4,091

24DCodes billed14

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other Dentist providers in Missouri

Rank by total paid#93 of 284

Median peer was paid$109K

This provider vs. median2.4×

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	2,601	$166K
2019	1,284	$88K
2021	206	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	28%	547	289	$75K
D7140	Extraction, erupted tooth or exposed root	21%	564	183	$56K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	14%	223	151	$37K
D0210	Intraoral - complete series of radiographic images	10%	360	354	$27K
D0150	Comprehensive oral evaluation - new or established patient	6.8%	483	475	$18K
D0140	Limited oral evaluation - problem focused	4.9%	401	393	$13K
D1110	Prophylaxis - adult	3.3%	217	214	$9K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	2.7%	46	33	$7K
D0220	Intraoral - periapical first radiographic image	2.4%	537	522	$6K
D0274	Bitewings - four radiographic images	2.3%	217	215	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.1%	254	253	$6K
D0230	Intraoral - periapical each additional radiographic image	<1%	140	136	$2K

2 more codes

D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	17	$2K
D0270		<1%	85	$1K

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.