Dental
Costes, Mark
Costes, Mark was paid $0.00 by Medicaid between Jul 2019 and Dec 2019, across 3 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 0% of everything it billed.
33Billing provider infoCOSTES, MARK
CHINO VALLEY, AZ 86323
CHINO VALLEY, AZ 86323
33aNPI1932399680assigned 07/30/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$0.00
24GClaims305
24DCodes billed3
24AFirst – last monthJul 2019 – Dec 2019
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#376 of 530
Median peer was paid$920.17
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 305 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 0% | 120 | 98 | $0.00 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 64 | 26 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 121 | 98 | $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.