Dental
Payton Southall, DDS, PLLC
Payton Southall, DDS, PLLC was paid $105K by Medicaid between Aug 2024 and Nov 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoPAYTON SOUTHALL, DDS, PLLC
BECKLEY, WV 25801
BECKLEY, WV 25801
33aNPI1033963020assigned 04/15/2024
33bProvider typePediatric Dentist
28Total paid$105K
24GClaims3,083
24DCodes billed18
24AFirst – last monthAug 2024 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in West Virginia
Rank by total paid#12 of 17
Median peer was paid$288K
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 | |
|---|---|---|---|
| 2024incomplete | 3,083 | $105K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 397 | 395 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 414 | 412 | $11K |
| D1206 | Topical application of fluoride varnish | 11% | 520 | 518 | $11K |
| D1351 | Sealant - per tooth | 9.9% | 338 | 71 | $10K |
| D1354 | 9.1% | 174 | 52 | $10K | |
| D1110 | Prophylaxis - adult | 8.3% | 144 | 144 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | 5.0% | 78 | 42 | $5K |
| D0330 | Panoramic radiographic image | 4.8% | 74 | 74 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.6% | 58 | 38 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.4% | 87 | 81 | $4K |
| D0274 | Bitewings - four radiographic images | 3.0% | 79 | 79 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.8% | 289 | 95 | $3K |
6 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 190 | $3K |
| D0272 | Bitewings - two radiographic images | 2.6% | 105 | $3K |
| D0140 | Limited oral evaluation - problem focused | 2.2% | 59 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 20 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 44 | $2K |
| D9310 | <1% | 13 | $715.00 |
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.
From NPPES
Who's on the registration
Authorized officialSOUTHALL, PAYTON (PEDIATRIC DENTIST)