Dental
Mensah-Boateng, Daniel
Mensah-Boateng, Daniel was paid $630K by Medicaid between May 2018 and Dec 2024, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.
33Billing provider infoMENSAH-BOATENG, DANIEL
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
33aNPI1962715904assigned 07/20/2010
33bProvider typeDentist
28Total paid$630K
24GClaims15,024
24DCodes billed18
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#72 of 452
Median peer was paid$59K
This provider vs. median11×
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 | 122 | $1K | |
| 2019 | 284 | $9K | |
| 2020 | 841 | $32K | |
| 2021 | 1,105 | $44K | |
| 2022 | 3,233 | $123K | |
| 2023 | 5,345 | $220K | |
| 2024incomplete | 4,094 | $201K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 20% | 2,391 | 2,112 | $125K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 1,518 | 916 | $123K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 2,875 | 2,601 | $70K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.5% | 941 | 550 | $60K |
| D0274 | Bitewings - four radiographic images | 8.0% | 1,410 | 1,286 | $50K |
| D1206 | Topical application of fluoride varnish | 6.3% | 1,815 | 1,648 | $40K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.7% | 1,074 | 1,004 | $36K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.0% | 314 | 230 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 658 | 583 | $26K |
| D7140 | Extraction, erupted tooth or exposed root | 3.3% | 207 | 78 | $21K |
| D0140 | Limited oral evaluation - problem focused | 2.3% | 357 | 326 | $14K |
| D0272 | Bitewings - two radiographic images | 2.1% | 544 | 506 | $13K |
6 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 443 | $5K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 89 | $5K |
| D1351 | Sealant - per tooth | <1% | 187 | $5K |
| D0330 | Panoramic radiographic image | <1% | 61 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 113 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 27 | $171.00 |
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.