Clinic
Ray Family Dentistry, PLLC
Ray Family Dentistry, PLLC was paid $47K by Medicaid between May 2023 and Nov 2024, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 27% of everything it billed.
33Billing provider infoRAY FAMILY DENTISTRY, PLLC
FAIRMONT, WV 26554
FAIRMONT, WV 26554
33aNPI1043959885assigned 05/31/2022
33bProvider typeDental Clinic/Center
28Total paid$47K
24GClaims1,033
24DCodes billed12
24AFirst – last monthMay 2023 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in West Virginia
Rank by total paid#7 of 20
Median peer was paid$16K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2023 | 14 | $196.41 | |
| 2024incomplete | 1,019 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 27% | 126 | 55 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 17% | 105 | 48 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 118 | 118 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.6% | 175 | 174 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 9.5% | 118 | 97 | $4K |
| D1206 | Topical application of fluoride varnish | 7.0% | 153 | 153 | $3K |
| D9248 | 5.2% | 19 | 14 | $2K | |
| D1110 | Prophylaxis - adult | 5.1% | 40 | 40 | $2K |
| D0140 | Limited oral evaluation - problem focused | 4.6% | 61 | 50 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 69 | 58 | $1K |
| D0272 | Bitewings - two radiographic images | 1.7% | 30 | 30 | $797.50 |
| D9630 | <1% | 19 | 14 | $192.00 |
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 officialRAY, TIMOTHY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| City of Kingsburg | Kingsburg, CA | $460K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.