Clinic
Prince, Sandford
Prince, Sandford was paid $2K by Medicaid between Jul 2019 and Feb 2024, across 2 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 83% of everything it billed.
33Billing provider infoPRINCE, SANDFORD
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
33aNPI1790750586assigned 02/23/2006
33bProvider typeOral and Maxillofacial Surgery Clinic/Center
28Total paid$2K
24GClaims67
24DCodes billed2
24AFirst – last monthJul 2019 – Feb 2024
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 | 14 | $272.80 | |
| 2022 | 15 | $366.00 | |
| 2023 | 25 | $570.80 | |
| 2024incomplete | 13 | $292.80 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 83% | 55 | 53 | $1K |
| D0330 | Panoramic radiographic image | 17% | 12 | 12 | $253.60 |
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.