Dental
Siedow, Stephen
Siedow, Stephen was paid $214K by Medicaid between Apr 2021 and Nov 2024, across 14 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 77% of everything it billed.
33Billing provider infoSIEDOW, STEPHEN
RIO GRANDE CITY, TX 78582
RIO GRANDE CITY, TX 78582
33aNPI1902218845assigned 05/27/2014
33bProvider typePediatric Dentist
28Total paid$214K
24GClaims4,303
24DCodes billed14
24AFirst – last monthApr 2021 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#373 of 693
Median peer was paid$252K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2021 | 290 | $7K | |
| 2022 | 926 | $38K | |
| 2023 | 2,332 | $142K | |
| 2024incomplete | 755 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 77% | 1,178 | 166 | $164K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.9% | 608 | 555 | $17K |
| D9420 | 3.4% | 214 | 207 | $7K | |
| D0272 | Bitewings - two radiographic images | 2.4% | 237 | 228 | $5K |
| D0145 | Oral evaluation for a patient under three years of age | 2.1% | 34 | 34 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 317 | 233 | $3K |
| D0350 | 1.4% | 226 | 198 | $3K | |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 246 | 237 | $3K |
| D1351 | Sealant - per tooth | 1.2% | 93 | 26 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 88 | 84 | $2K |
| D0170 | <1% | 80 | 79 | $1K | |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 30 | 29 | $955.50 |
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.