Dental
Graham, Victoria
Graham, Victoria was paid $821K by Medicaid between Jan 2018 and Jan 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoGRAHAM, VICTORIA
TUPELO, MS 38801
TUPELO, MS 38801
33aNPI1174965982assigned 07/22/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$821K
24GClaims33,749
24DCodes billed19
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other General Practice Dentistry providers in Mississippi
Rank by total paid#44 of 379
Median peer was paid$78K
This provider vs. median11×
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 | 20,006 | $535K | |
| 2019 | 7,742 | $167K | |
| 2020 | 4,844 | $93K | |
| 2021 | 886 | $19K | |
| 2022 | 68 | $2K | |
| 2023 | 180 | $5K | |
| 2024incomplete | 23 | $453.62 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 6,372 | 4,601 | $127K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 3,139 | 2,984 | $124K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 815 | 583 | $85K |
| D1206 | Topical application of fluoride varnish | 9.7% | 4,233 | 3,623 | $80K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.4% | 957 | 679 | $77K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.9% | 3,938 | 2,119 | $48K |
| D0330 | Panoramic radiographic image | 5.5% | 1,194 | 1,083 | $45K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.1% | 1,644 | 1,354 | $42K |
| D1351 | Sealant - per tooth | 3.9% | 1,224 | 376 | $32K |
| D0272 | Bitewings - two radiographic images | 3.8% | 2,263 | 1,754 | $31K |
| D0274 | Bitewings - four radiographic images | 3.1% | 1,320 | 1,028 | $26K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 2,278 | 1,820 | $20K |
7 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.0% | 124 | $16K |
| D7140 | Extraction, erupted tooth or exposed root | 1.8% | 193 | $15K |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 398 | $14K |
| D0210 | Intraoral - complete series of radiographic images | 1.8% | 220 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 1,532 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | 1.2% | 816 | $10K |
| D1999 | 0% | 1,089 | $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.