Dental
Dejbod, Nikki
Dejbod, Nikki was paid $185K by Medicaid between Jan 2018 and Sep 2022, across 26 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
33Billing provider infoDEJBOD, NIKKI
TUCSON, AZ 85745
TUCSON, AZ 85745
33aNPI1902183916assigned 11/04/2011
33bProvider typePediatric Dentist
28Total paid$185K
24GClaims21,366
24DCodes billed26
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#62 of 223
Median peer was paid$24K
This provider vs. median7.8×
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 | 2,401 | $9K | |
| 2019 | 3,590 | $61K | |
| 2020 | 5,383 | $73K | |
| 2021 | 5,948 | $42K | |
| 2022 | 4,044 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 3,381 | 3,310 | $44K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 20% | 506 | 122 | $38K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 2,748 | 2,684 | $23K |
| D1208 | Topical application of fluoride, excluding varnish | 8.4% | 2,330 | 2,294 | $15K |
| D0272 | Bitewings - two radiographic images | 6.4% | 1,753 | 1,704 | $12K |
| D1351 | Sealant - per tooth | 5.4% | 1,320 | 360 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.9% | 571 | 560 | $7K |
| D1206 | Topical application of fluoride varnish | 3.5% | 1,555 | 1,510 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.0% | 611 | 557 | $6K |
| D1354 | 2.7% | 659 | 177 | $5K | |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 890 | 844 | $4K |
| D1110 | Prophylaxis - adult | 1.6% | 234 | 229 | $3K |
14 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.6% | 106 | $3K |
| D0240 | 1.5% | 690 | $3K | |
| D0274 | Bitewings - four radiographic images | 1.2% | 195 | $2K |
| D0330 | Panoramic radiographic image | <1% | 120 | $2K |
| D9310 | <1% | 57 | $1K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 40 | $407.54 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 75 | $121.43 |
| D0603 | 0% | 2,154 | $0.00 | |
| D0602 | 0% | 46 | $0.00 | |
| D1330 | 0% | 305 | $0.00 | |
| D1310 | 0% | 302 | $0.00 | |
| D0190 | 0% | 451 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 126 | $0.00 |
| D1999 | 0% | 141 | $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.