OIG EXCLUDED — This provider appears on the federal exclusion list
Denver David Tackett
Total Paid
$471K
$470,890
Total Claims
12K
Beneficiaries
7,134
1.6 claims/patient
Avg Cost/Claim
$40
🔍 Analysis
Provider Overview
Denver David Tackett is a Dentist provider based in Minnie, KY. From the 2018–2024 period, this provider received $471K in Medicaid payments across 12K claims serving 7K beneficiaries.
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 19 distinct procedure codes. The top code (D2391 (Resin-based composite, one surface, posterior)) accounts for 22% of total spending.
$106K
2,681 claims
$39.49
$54.60
Resin-based composite, one surface, posterior
$106K
2,681 claims · 22.5%
$77K
1,186 claims
$65.21
$109.42
Extraction, erupted tooth, surgical approach
$77K
1,186 claims · 16.4%
$55K
1,110 claims
$49.49
$71.00
Resin-based composite, two surfaces, posterior
$55K
1,110 claims · 11.7%
$37K
544 claims · 7.8%
Panoramic radiographic image
$29K
854 claims · 6.1%
$26K
433 claims · 5.4%
$25K
1,075 claims
$22.80
$32.07
Comprehensive oral evaluation, new or established patient
$25K
1,075 claims · 5.2%
$21K
586 claims
$35.60
$57.39
Extraction, erupted tooth or exposed root
$21K
586 claims · 4.4%
Prophylaxis, adult cleaning
$19K
568 claims · 4.0%
$17K
310 claims
$55.38
$84.26
Resin-based composite, three surfaces, posterior
$17K
310 claims · 3.6%
$15K
298 claims
$50.89
$73.58
Resin-based composite filling, two surfaces, anterior
$15K
298 claims · 3.2%
$13K
321 claims
$39.77
$66.63
Resin-based composite filling, one surface, anterior
$13K
321 claims · 2.7%
$10K
443 claims
$21.46
$22.54
Bitewings, four radiographic images
$10K
443 claims · 2.0%
$9K
488 claims · 2.0%
$6K
92 claims · 1.2%
$4K
541 claims
$7.20
$10.51
Intraoral periapical radiographic image, first film
$4K
541 claims · 0.8%
Prophylaxis, adult
$2K
63 claims · 0.5%
$675
56 claims
$12.05
$14.36
Topical application of fluoride, excluding varnish
$675
56 claims · 0.1%
Bitewings, two radiographic images
$381
26 claims · 0.1%
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