Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Toomey, Sean

Toomey, Sean was paid $84K by Medicaid between Jan 2018 and Dec 2020, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.

33Billing provider infoTOOMEY, SEAN
SEVIERVILLE, TN 37862
33aNPI1841552361assigned 06/11/2012
28Total paid$84K
24GClaims3,006
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers

Next to other General Practice Dentistry providers in Tennessee

Rank by total paid#188 of 336
Median peer was paid$123K
This provider vs. median0.7×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018872$24K
20191,266$36K
2020868$24K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 30% 598 595 $25K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 27% 955 952 $22K
D0274 Bitewings - four radiographic images 15% 467 465 $13K
D1208 Topical application of fluoride, excluding varnish 12% 473 472 $10K
D1120 Dental cleaning, childProphylaxis - child 9.2% 233 233 $8K
D1206 Topical application of fluoride varnish 6.0% 245 244 $5K
D0210 Intraoral - complete series of radiographic images <1% 12 12 $736.00
D1351 Sealant - per tooth <1% 23 12 $659.25

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.