Henry, Matthew

Henry, Matthew was paid $9K by Medicaid between Dec 2018 and Dec 2019, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 83% of everything it billed.

33Billing provider infoHENRY, MATTHEW
CHEYENNE, WY 82009

33aNPI1154561926assigned 03/05/2009

33bProvider typeDentist

28Total paid$9K

24GClaims181

24DCodes billed5

24AFirst – last monthDec 2018 – Dec 2019

Compared with peers

Next to other Dentist providers in Wyoming

Rank by total paid#25 of 40

Median peer was paid$14K

This provider vs. median0.6×

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	50	$2K
2019	131	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	83%	52	52	$7K
D1120	Dental cleaning, childProphylaxis - child	6.9%	32	32	$600.00
D1206	Topical application of fluoride varnish	6.5%	68	68	$561.00
D0220	Intraoral - periapical first radiographic image	3.3%	14	14	$289.00
D0230	Intraoral - periapical each additional radiographic image	0%	15	13	$0.00

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.