Dental
Tyson, Summer
Tyson, Summer was paid $914K by Medicaid between Jan 2018 and Jul 2020, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 16% of everything it billed.
33Billing provider infoTYSON, SUMMER
JONESBORO, AR 72401
JONESBORO, AR 72401
33aNPI1720242167assigned 07/15/2008
33bProvider typePediatric Dentist
28Total paid$914K
24GClaims25,501
24DCodes billed22
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Pediatric Dentist providers in Arkansas
Rank by total paid#32 of 60
Median peer was paid$1.02M
This provider vs. median0.9×
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 | 14,550 | $589K | |
| 2019 | 8,430 | $247K | |
| 2020 | 2,521 | $78K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 16% | 1,047 | 179 | $143K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 3,023 | 2,731 | $102K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 3,878 | 3,526 | $100K |
| D0272 | Bitewings - two radiographic images | 8.8% | 3,671 | 3,288 | $81K |
| D1208 | Topical application of fluoride, excluding varnish | 8.4% | 4,069 | 3,685 | $77K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 6.6% | 714 | 144 | $60K |
| D0240 | 6.3% | 2,441 | 1,413 | $57K | |
| D1110 | Prophylaxis - adult | 5.3% | 1,045 | 958 | $48K |
| D7140 | Extraction, erupted tooth or exposed root | 4.9% | 699 | 319 | $45K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.0% | 458 | 177 | $36K |
| D9248 | 3.8% | 370 | 306 | $34K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.7% | 1,004 | 850 | $25K |
10 more codes
| D0140 | Limited oral evaluation - problem focused | 2.6% | 732 | $23K |
| D1351 | Sealant - per tooth | 2.4% | 851 | $22K |
| D0210 | Intraoral - complete series of radiographic images | 2.3% | 253 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 810 | $14K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.1% | 135 | $10K |
| D2331 | <1% | 62 | $5K | |
| D2330 | <1% | 61 | $5K | |
| D0330 | Panoramic radiographic image | <1% | 119 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 45 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 14 | $199.50 |
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.