Blackmon, Harry

Blackmon, Harry was paid $55K by Medicaid between Jan 2018 and Nov 2019, across 10 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 32% of everything it billed.

33Billing provider infoBLACKMON, HARRY
BENNETTSVILLE, SC 29512

33aNPI1154306751assigned 12/07/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$55K

24GClaims1,496

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2019

Compared with peers

Next to other General Practice Dentistry providers in South Carolina

Rank by total paid#182 of 331

Median peer was paid$75K

This provider vs. median0.7×

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	655	$28K
2019	841	$27K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	32%	473	468	$18K
D7140	Extraction, erupted tooth or exposed root	27%	168	113	$15K
D0330	Panoramic radiographic image	21%	233	233	$12K
D0220	Intraoral - periapical first radiographic image	7.0%	303	299	$4K
D1208	Topical application of fluoride, excluding varnish	4.6%	156	156	$3K
D0272	Bitewings - two radiographic images	2.7%	80	80	$1K
D0150	Comprehensive oral evaluation - new or established patient	1.9%	26	26	$1K
D1110	Prophylaxis - adult	1.3%	14	14	$705.60
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.2%	30	30	$667.00
D1120	Dental cleaning, childProphylaxis - child	<1%	13	13	$452.40

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.