Dental
Ellsworth, Chad
Ellsworth, Chad was paid $536K by Medicaid between Jan 2018 and Nov 2021, across 26 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoELLSWORTH, CHAD
HENDERSON, NV 89052
HENDERSON, NV 89052
33aNPI1841392172assigned 09/05/2006
33bProvider typePediatric Dentist
28Total paid$536K
24GClaims19,612
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Pediatric Dentist providers in Nevada
Rank by total paid#28 of 85
Median peer was paid$244K
This provider vs. median2.2×
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 | 19,061 | $519K | |
| 2019 | 361 | $12K | |
| 2020 | 80 | $2K | |
| 2021 | 110 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 3,597 | 3,121 | $137K |
| D1206 | Topical application of fluoride varnish | 20% | 3,526 | 3,061 | $107K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 2,003 | 1,738 | $55K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.0% | 845 | 155 | $43K |
| D0272 | Bitewings - two radiographic images | 7.6% | 2,696 | 2,333 | $41K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.9% | 1,612 | 1,409 | $32K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.9% | 486 | 209 | $21K |
| D1351 | Sealant - per tooth | 3.7% | 1,114 | 258 | $20K |
| D7140 | Extraction, erupted tooth or exposed root | 3.1% | 551 | 204 | $17K |
| D0330 | Panoramic radiographic image | 2.8% | 422 | 378 | $15K |
| D9248 | 1.8% | 130 | 110 | $9K | |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 247 | 208 | $7K |
14 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 200 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.1% | 565 | $6K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 467 | $5K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 86 | $4K |
| D1354 | <1% | 450 | $3K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 53 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 387 | $2K |
| D2330 | <1% | 30 | $1K | |
| D9420 | <1% | 39 | $1K | |
| D9310 | <1% | 15 | $520.00 | |
| D3120 | <1% | 40 | $450.00 | |
| D0601 | <1% | 18 | $80.00 | |
| D0603 | <1% | 18 | $70.00 | |
| D0602 | <1% | 15 | $70.00 |
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.