Dental
Du Bois, Charles
Du Bois, Charles was paid $5K by Medicaid between Mar 2018 and Dec 2022, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 54% of everything it billed.
33Billing provider infoDU BOIS, CHARLES
CAMBRIDGE, OH 43725
CAMBRIDGE, OH 43725
33aNPI1871624213assigned 03/08/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$5K
24GClaims1,050
24DCodes billed10
24AFirst – last monthMar 2018 – Dec 2022
Compared with peers
Next to other General Practice Dentistry providers in Ohio
Rank by total paid#648 of 870
Median peer was paid$40K
This provider vs. median0.1×
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 | 196 | $4K | |
| 2019 | 104 | $120.44 | |
| 2020 | 132 | $86.35 | |
| 2021 | 326 | $156.13 | |
| 2022 | 292 | $526.34 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 54% | 209 | 206 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 237 | 232 | $1K |
| D0330 | Panoramic radiographic image | 9.7% | 15 | 12 | $486.40 |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.8% | 171 | 169 | $342.55 |
| D0210 | Intraoral - complete series of radiographic images | 4.8% | 76 | 75 | $240.00 |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 39 | 39 | $67.74 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 35 | 13 | $0.00 |
| D1999 | 0% | 237 | 229 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 18 | 17 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 13 | 13 | $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.