Dental
Dawson, Dayton
Dawson, Dayton was paid $9K by Medicaid between Jul 2020 and Sep 2020, across 7 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 38% of everything it billed.
33Billing provider infoDAWSON, DAYTON
DANVILLE, IN 46122
DANVILLE, IN 46122
33aNPI1992991152assigned 09/21/2007
33bProvider typeDentist
28Total paid$9K
24GClaims396
24DCodes billed7
24AFirst – last monthJul 2020 – Sep 2020
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#309 of 452
Median peer was paid$59K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 396 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 38% | 94 | 29 | $3K |
| D1110 | Prophylaxis - adult | 22% | 65 | 38 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 87 | 54 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 38 | 26 | $897.00 |
| D1206 | Topical application of fluoride varnish | 9.6% | 51 | 34 | $845.50 |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 24 | 12 | $326.60 |
| D1999 | 0% | 37 | 16 | $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.