Sanford, Ailie

Sanford, Ailie was paid $29K by Medicaid between Dec 2019 and Jun 2020, across 9 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 20% of everything it billed.

33Billing provider infoSANFORD, AILIE
HANNIBAL, MO 63401

33aNPI1013576032assigned 06/12/2019

33bProvider typeGeneral Practice Dentistry

28Total paid$29K

24GClaims575

24DCodes billed9

24AFirst – last monthDec 2019 – Jun 2020

Compared with peers

Next to other General Practice Dentistry providers in Missouri

Rank by total paid#174 of 260

Median peer was paid$78K

This provider vs. median0.4×

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	61	$2K
2020	514	$27K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0274	Bitewings - four radiographic images	20%	126	126	$6K
D1120	Dental cleaning, childProphylaxis - child	16%	80	80	$5K
D1206	Topical application of fluoride varnish	15%	121	121	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	96	96	$4K
D1110	Prophylaxis - adult	9.5%	33	33	$3K
D2140		9.2%	20	15	$3K
D0330	Panoramic radiographic image	8.5%	23	23	$2K
D0220	Intraoral - periapical first radiographic image	5.2%	55	55	$2K
D0230	Intraoral - periapical each additional radiographic image	2.0%	21	12	$594.00

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.