Rybolt, Caleb

Rybolt, Caleb was paid $3K by Medicaid between Feb 2024 and Oct 2024, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 43% of everything it billed.

33Billing provider infoRYBOLT, CALEB
SHELBYVILLE, IL 62565

33aNPI1083392708assigned 07/11/2023

33bProvider typeGeneral Practice Dentistry

28Total paid$3K

24GClaims93

24DCodes billed3

24AFirst – last monthFeb 2024 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#919 of 1,017

Median peer was paid$123K

This provider vs. median0.0×

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
2024incomplete	93	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	43%	31	31	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	31	31	$911.40
D1206	Topical application of fluoride varnish	27%	31	31	$846.30

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.