Dental
Ernesti, Timothy
Ernesti, Timothy was paid $140K by Medicaid between Jan 2018 and Apr 2019, across 13 billing codes. Its largest line is D1351, Sealant - per tooth — 18% of everything it billed.
33Billing provider infoERNESTI, TIMOTHY
SIOUX CITY, IA 51106
SIOUX CITY, IA 51106
33aNPI1972827194assigned 03/17/2010
33bProvider typeDentist
28Total paid$140K
24GClaims6,779
24DCodes billed13
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Dentist providers in Iowa
Rank by total paid#66 of 268
Median peer was paid$26K
This provider vs. median5.3×
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 | 5,769 | $118K | |
| 2019 | 1,010 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 18% | 1,372 | 201 | $25K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 981 | 897 | $21K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 275 | 178 | $18K |
| D1206 | Topical application of fluoride varnish | 13% | 1,425 | 1,307 | $18K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 1,013 | 928 | $14K |
| D1110 | Prophylaxis - adult | 7.9% | 373 | 343 | $11K |
| D0330 | Panoramic radiographic image | 6.3% | 233 | 208 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.7% | 383 | 351 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.6% | 192 | 112 | $8K |
| D0272 | Bitewings - two radiographic images | 2.9% | 304 | 270 | $4K |
| D0274 | Bitewings - four radiographic images | 2.8% | 192 | 175 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 15 | 14 | $388.73 |
1 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 21 | $216.35 |
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.