Dental
Dolly, Arlie
Dolly, Arlie was paid $86K by Medicaid between Apr 2019 and Nov 2024, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoDOLLY, ARLIE
CAPAN BRIDGE, WV 26711
CAPAN BRIDGE, WV 26711
33aNPI1124130216assigned 08/31/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$86K
24GClaims3,150
24DCodes billed8
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in West Virginia
Rank by total paid#74 of 193
Median peer was paid$44K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2019 | 172 | $2K | |
| 2020 | 630 | $13K | |
| 2021 | 458 | $11K | |
| 2022 | 733 | $21K | |
| 2023 | 490 | $15K | |
| 2024incomplete | 667 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 653 | 556 | $22K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 985 | 859 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 22% | 1,048 | 901 | $19K |
| D1110 | Prophylaxis - adult | 11% | 196 | 170 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 117 | 115 | $4K |
| D0330 | Panoramic radiographic image | 3.8% | 52 | 47 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.0% | 31 | 12 | $3K |
| D0274 | Bitewings - four radiographic images | 2.8% | 68 | 63 | $2K |
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.