Dental
Eby, Stacey
Eby, Stacey was paid $10K by Medicaid between Jul 2020 and Jul 2021, across 13 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 31% of everything it billed.
33Billing provider infoEBY, STACEY
FORT ATKINSON, WI 53538
FORT ATKINSON, WI 53538
33aNPI1801957030assigned 12/12/2006
33bProvider typeDentist
28Total paid$10K
24GClaims1,359
24DCodes billed13
24AFirst – last monthJul 2020 – Jul 2021
Compared with peers
Next to other Dentist providers in Wisconsin
Rank by total paid#126 of 185
Median peer was paid$28K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2020 | 470 | $3K | |
| 2021 | 889 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 31% | 195 | 167 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 28 | 19 | $1K |
| D0274 | Bitewings - four radiographic images | 11% | 102 | 74 | $1K |
| D0140 | Limited oral evaluation - problem focused | 10% | 67 | 57 | $1K |
| D1110 | Prophylaxis - adult | 8.8% | 43 | 40 | $878.84 |
| D1120 | Dental cleaning, childProphylaxis - child | 7.2% | 44 | 40 | $720.06 |
| D0220 | Intraoral - periapical first radiographic image | 6.9% | 119 | 92 | $692.04 |
| D1206 | Topical application of fluoride varnish | 5.7% | 55 | 49 | $566.16 |
| D0330 | Panoramic radiographic image | 5.0% | 109 | 89 | $502.35 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 14 | 12 | $76.82 |
| D0350 | <1% | 12 | 12 | $47.44 | |
| D1999 | 0% | 403 | 279 | $0.00 |
1 more codes
| D9215 | 0% | 168 | $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.