Tillery, Douglas

Tillery, Douglas was paid $24K by Medicaid between Jan 2018 and Jun 2020, across 4 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 44% of everything it billed.

33Billing provider infoTILLERY, DOUGLAS
LAUREL, MS 39440

33aNPI1033120001assigned 08/11/2006

33bProvider typeDentist

28Total paid$24K

24GClaims1,204

24DCodes billed4

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Dentist providers in Mississippi

Rank by total paid#165 of 261

Median peer was paid$64K

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
2018	952	$18K
2019	198	$5K
2020	54	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	44%	369	322	$11K
D1120	Dental cleaning, childProphylaxis - child	32%	431	360	$8K
D1206	Topical application of fluoride varnish	20%	375	316	$5K
D0274	Bitewings - four radiographic images	3.7%	29	29	$879.18

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.