Dental
Cody Dental Excellence
Cody Dental Excellence was paid $121K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 33% of everything it billed.
33Billing provider infoCODY DENTAL EXCELLENCE
CODY, WY 82414
CODY, WY 82414
33aNPI1154696409assigned 03/20/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$121K
24GClaims3,269
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Wyoming
Rank by total paid#9 of 64
Median peer was paid$6K
This provider vs. median19×
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 | 344 | $12K | |
| 2019 | 184 | $6K | |
| 2020 | 217 | $8K | |
| 2021 | 386 | $12K | |
| 2022 | 621 | $21K | |
| 2023 | 788 | $32K | |
| 2024incomplete | 729 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 33% | 1,238 | 1,207 | $41K |
| D1110 | Prophylaxis - adult | 24% | 568 | 541 | $29K |
| D1206 | Topical application of fluoride varnish | 20% | 687 | 679 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 407 | 401 | $15K |
| D0274 | Bitewings - four radiographic images | 5.8% | 204 | 197 | $7K |
| D0330 | Panoramic radiographic image | 2.0% | 47 | 44 | $2K |
| D0272 | Bitewings - two radiographic images | 1.3% | 60 | 58 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 17 | 12 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.0% | 41 | 38 | $1K |
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.
From NPPES
Who's on the registration
Authorized officialHOLEMAN, DEVON (DENTIST)