Daugherty, Carla

Daugherty, Carla was paid $7K by Medicaid between Nov 2019 and Jun 2020, across 9 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 20% of everything it billed.

33Billing provider infoDAUGHERTY, CARLA
ST LOUIS, MO 63112

33aNPI1003874066assigned 05/01/2006

33bProvider typeDentist

28Total paid$7K

24GClaims763

24DCodes billed9

24AFirst – last monthNov 2019 – Jun 2020

Compared with peers

Next to other Dentist providers in Missouri

Rank by total paid#227 of 284

Median peer was paid$109K

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
2019	140	$270.73
2020	623	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0274	Bitewings - four radiographic images	20%	147	142	$1K
D0150	Comprehensive oral evaluation - new or established patient	17%	115	108	$1K
D1110	Prophylaxis - adult	17%	97	90	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	83	82	$1K
D1206	Topical application of fluoride varnish	13%	159	154	$883.76
D1120	Dental cleaning, childProphylaxis - child	7.2%	70	69	$494.90
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	5.3%	32	14	$364.00
D0330	Panoramic radiographic image	3.4%	48	43	$236.16
D0272	Bitewings - two radiographic images	1.3%	12	12	$93.00

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.