Dental
Mallory, Nicholas
Mallory, Nicholas was paid $60K by Medicaid between Feb 2020 and Jun 2023, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.
33Billing provider infoMALLORY, NICHOLAS
EAGAR, AZ 85925
EAGAR, AZ 85925
33aNPI1851950588assigned 06/06/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$60K
24GClaims2,539
24DCodes billed14
24AFirst – last monthFeb 2020 – Jun 2023
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#94 of 530
Median peer was paid$920.17
This provider vs. median65×
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 | 220 | $6K | |
| 2021 | 465 | $14K | |
| 2022 | 1,257 | $24K | |
| 2023 | 597 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 480 | 471 | $16K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 623 | 603 | $15K |
| D0140 | Limited oral evaluation - problem focused | 8.2% | 193 | 183 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 7.4% | 420 | 399 | $4K |
| D1206 | Topical application of fluoride varnish | 7.1% | 241 | 237 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 4.7% | 185 | 175 | $3K |
| D0274 | Bitewings - four radiographic images | 4.5% | 117 | 113 | $3K |
| D1110 | Prophylaxis - adult | 4.5% | 62 | 62 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.4% | 40 | 25 | $3K |
| D1351 | Sealant - per tooth | 2.2% | 87 | 24 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | 2.1% | 20 | 12 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 30 | 25 | $720.06 |
2 more codes
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.