Dental
Ly, Tri
Ly, Tri was paid $694K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is D4341, — 24% of everything it billed.
33Billing provider infoLY, TRI
SAINT LOUIS, MO 63116
SAINT LOUIS, MO 63116
33aNPI1265554877assigned 04/04/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$694K
24GClaims23,580
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Missouri
Rank by total paid#17 of 260
Median peer was paid$78K
This provider vs. median8.9×
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 | 10,416 | $215K | |
| 2019 | 9,328 | $201K | |
| 2020 | 1,994 | $42K | |
| 2023 | 722 | $95K | |
| 2024incomplete | 1,120 | $142K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D4341 | 24% | 770 | 183 | $166K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 3,266 | 3,202 | $77K |
| D1351 | Sealant - per tooth | 11% | 3,923 | 897 | $73K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10.0% | 1,562 | 1,512 | $69K |
| D0274 | Bitewings - four radiographic images | 9.3% | 2,471 | 2,392 | $65K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.2% | 3,059 | 3,009 | $64K |
| D0330 | Panoramic radiographic image | 6.5% | 964 | 933 | $45K |
| D1110 | Prophylaxis - adult | 5.8% | 1,450 | 1,418 | $41K |
| D1208 | Topical application of fluoride, excluding varnish | 4.3% | 2,769 | 2,707 | $30K |
| D1206 | Topical application of fluoride varnish | 3.0% | 1,597 | 1,583 | $21K |
| D0272 | Bitewings - two radiographic images | 2.2% | 1,097 | 1,075 | $15K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 266 | 125 | $13K |
2 more codes
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.