King, Ty

King, Ty was paid $8K by Medicaid between Feb 2018 and Sep 2020, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 58% of everything it billed.

33Billing provider infoKING, TY
ROGERS, AR 72756

33aNPI1063555415assigned 02/15/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$8K

24GClaims351

24DCodes billed5

24AFirst – last monthFeb 2018 – Sep 2020

Compared with peers

Next to other General Practice Dentistry providers in Arkansas

Rank by total paid#300 of 401

Median peer was paid$36K

This provider vs. median0.2×

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	192	$4K
2019	133	$3K
2020	26	$605.15

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	58%	218	173	$5K
D1110	Prophylaxis - adult	23%	43	37	$2K
D1206	Topical application of fluoride varnish	7.4%	29	28	$578.55
D1208	Topical application of fluoride, excluding varnish	6.9%	34	28	$538.65
D0272	Bitewings - two radiographic images	5.1%	27	25	$397.98

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.