Withem, Nicholas

Withem, Nicholas was paid $12K by Medicaid between Oct 2020 and Jan 2021, across 11 billing codes. Its largest line is D9243, — 26% of everything it billed.

33Billing provider infoWITHEM, NICHOLAS
FARMINGTON, NM 87402

33aNPI1891102752assigned 07/11/2014

33bProvider typeDentist

28Total paid$12K

24GClaims357

24DCodes billed11

24AFirst – last monthOct 2020 – Jan 2021

Compared with peers

Next to other Dentist providers in New Mexico

Rank by total paid#123 of 179

Median peer was paid$47K

This provider vs. median0.3×

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	318	$11K
2021	39	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9243		26%	53	13	$3K
D0150	Comprehensive oral evaluation - new or established patient	17%	56	56	$2K
D9239		14%	13	13	$2K
D0274	Bitewings - four radiographic images	9.8%	38	38	$1K
D1120	Dental cleaning, childProphylaxis - child	7.3%	26	26	$863.43
D1208	Topical application of fluoride, excluding varnish	6.1%	38	38	$720.55
D0220	Intraoral - periapical first radiographic image	6.0%	61	59	$712.33
D1110	Prophylaxis - adult	4.5%	12	12	$535.16
D0140	Limited oral evaluation - problem focused	3.1%	12	12	$369.58
D0230	Intraoral - periapical each additional radiographic image	2.8%	36	36	$331.42
D9610		2.6%	12	12	$312.83

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.