Physician
Denton Healthcare PLLC
Denton Healthcare PLLC was paid $249K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoDENTON HEALTHCARE PLLC
DENTON, NC 27239
DENTON, NC 27239
33aNPI1891959094assigned 07/16/2008
33bProvider typeGeneral Practice Physician
28Total paid$249K
24GClaims31,921
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in North Carolina
Rank by total paid#25 of 51
Median peer was paid$205K
This provider vs. median1.2×
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 | 466 | $11K | |
| 2019 | 802 | $18K | |
| 2020 | 519 | $20K | |
| 2021 | 2,468 | $27K | |
| 2022 | 5,139 | $38K | |
| 2023 | 8,658 | $63K | |
| 2024incomplete | 13,869 | $73K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 54% | 4,018 | 2,788 | $134K |
| 99199 | Unlisted special service, procedure or report | 40% | 22,677 | 15,008 | $99K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.7% | 348 | 269 | $12K |
| 99336 | <1% | 101 | 51 | $2K | |
| 99335 | <1% | 127 | 75 | $860.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 92 | 63 | $438.07 |
| 99497 | <1% | 19 | 12 | $100.92 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 107 | 76 | $88.54 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 328 | 108 | $66.13 |
| 3075F | 0% | 404 | 342 | $0.00 | |
| 3079F | 0% | 591 | 494 | $0.00 | |
| 3074F | 0% | 996 | 818 | $0.00 |
7 more codes
| 3008F | 0% | 1,119 | $0.00 | |
| 3080F | 0% | 36 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 12 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $0.00 |
| 3078F | 0% | 890 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 12 | $0.00 |
| 3077F | 0% | 32 | $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.
From NPPES
Who's on the registration
Authorized officialBAKER, CLIFTON (CO-OWNER)