Dental
Donick, Alexander
Donick, Alexander was paid $5K by Medicaid between Oct 2019 and May 2024, across 12 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 46% of everything it billed.
33Billing provider infoDONICK, ALEXANDER
LA GRANDE, OR 97850
LA GRANDE, OR 97850
33aNPI1750876082assigned 06/28/2018
33bProvider typeDentist
28Total paid$5K
24GClaims464
24DCodes billed12
24AFirst – last monthOct 2019 – May 2024
Compared with peers
Next to other Dentist providers in Oregon
Rank by total paid#153 of 233
Median peer was paid$19K
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 | |
|---|---|---|---|
| 2019 | 53 | $144.00 | |
| 2020 | 202 | $22.00 | |
| 2021 | 28 | $13.00 | |
| 2024incomplete | 181 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 46% | 32 | 14 | $2K |
| D0140 | Limited oral evaluation - problem focused | 34% | 64 | 63 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 9.3% | 145 | 143 | $507.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.4% | 27 | 27 | $456.00 |
| D0603 | 2.2% | 13 | 13 | $121.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 23 | 12 | $9.00 |
| D1110 | Prophylaxis - adult | 0% | 39 | 39 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 26 | 26 | $0.00 |
| D1330 | 0% | 25 | 25 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 32 | 32 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 25 | 25 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 13 | 13 | $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.