Dental
Evans, Mark
Evans, Mark was paid $0.00 by Medicaid between Jan 2018 and Aug 2019, across 10 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 0% of everything it billed.
33Billing provider infoEVANS, MARK
LAVEEN, AZ 85339
LAVEEN, AZ 85339
33aNPI1962836031assigned 08/26/2013
33bProvider typeDentist
28Total paid$0.00
24GClaims796
24DCodes billed10
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers
Next to other Dentist providers in Arizona
Rank by total paid#315 of 468
Median peer was paid$686.85
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 | |
|---|---|---|---|
| 2018 | 621 | $0.00 | |
| 2019 | 175 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 0% | 149 | 115 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 26 | 26 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 64 | 30 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 107 | 80 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 34 | 28 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 182 | 72 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 100 | 76 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 103 | 77 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 19 | 14 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 12 | 12 | $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.