Dental
Dixon, Mansfield
Dixon, Mansfield was paid $134K by Medicaid between Jan 2018 and Mar 2019, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoDIXON, MANSFIELD
PINEVILLE, KY 40977
PINEVILLE, KY 40977
33aNPI1811056302assigned 12/08/2006
33bProvider typeDentist
28Total paid$134K
24GClaims4,194
24DCodes billed13
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Dentist providers in Kentucky
Rank by total paid#150 of 350
Median peer was paid$95K
This provider vs. median1.4×
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 | 4,006 | $127K | |
| 2019 | 188 | $6K |
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 | 17% | 425 | 308 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 939 | 915 | $21K |
| D1110 | Prophylaxis - adult | 14% | 495 | 486 | $19K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 12% | 245 | 193 | $15K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 320 | 317 | $14K |
| D0330 | Panoramic radiographic image | 9.6% | 378 | 366 | $13K |
| D0274 | Bitewings - four radiographic images | 6.4% | 383 | 373 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 5.5% | 538 | 530 | $7K |
| D0272 | Bitewings - two radiographic images | 3.2% | 285 | 271 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 104 | 83 | $4K |
| D2332 | 1.6% | 32 | 24 | $2K | |
| D2394 | <1% | 17 | 15 | $1K |
1 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 33 | $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.