Dental
Mayberry, David
Mayberry, David was paid $3K by Medicaid between Jan 2020 and May 2021, across 3 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 66% of everything it billed.
33Billing provider infoMAYBERRY, DAVID
BARNESVILLE, OH 43713
BARNESVILLE, OH 43713
33aNPI1265526156assigned 10/03/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$3K
24GClaims119
24DCodes billed3
24AFirst – last monthJan 2020 – May 2021
Compared with peers
Next to other General Practice Dentistry providers in Ohio
Rank by total paid#691 of 870
Median peer was paid$40K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 61 | $1K | |
| 2021 | 58 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 66% | 77 | 75 | $2K |
| D0274 | Bitewings - four radiographic images | 19% | 29 | 29 | $580.00 |
| D1110 | Prophylaxis - adult | 15% | 13 | 13 | $443.69 |
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.