Dental
Vaughan, Joseph
Vaughan, Joseph was paid $153K by Medicaid between Feb 2018 and Oct 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 18% of everything it billed.
33Billing provider infoVAUGHAN, JOSEPH
RONCEVERTE, WV 24970
RONCEVERTE, WV 24970
33aNPI1972523678assigned 07/19/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$153K
24GClaims4,841
24DCodes billed14
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in West Virginia
Rank by total paid#60 of 193
Median peer was paid$44K
This provider vs. median3.5×
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 | 60 | $2K | |
| 2019 | 187 | $2K | |
| 2020 | 1,459 | $36K | |
| 2021 | 475 | $14K | |
| 2022 | 1,208 | $40K | |
| 2023 | 1,032 | $45K | |
| 2024incomplete | 420 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 18% | 576 | 478 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 1,230 | 1,014 | $28K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 225 | 138 | $23K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 1,302 | 1,050 | $23K |
| D1351 | Sealant - per tooth | 7.5% | 386 | 42 | $11K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.3% | 304 | 234 | $11K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.3% | 310 | 256 | $11K |
| D0274 | Bitewings - four radiographic images | 6.6% | 292 | 216 | $10K |
| D0330 | Panoramic radiographic image | 1.8% | 47 | 40 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 19 | 12 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 70 | 58 | $968.00 |
| D1206 | Topical application of fluoride varnish | <1% | 45 | 42 | $924.00 |
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.