Dental
Mack, Roy
Mack, Roy was paid $10K by Medicaid between May 2024 and Jul 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 44% of everything it billed.
33Billing provider infoMACK, ROY
MARYSVILLE, OH 43040
MARYSVILLE, OH 43040
33aNPI1295020204assigned 06/17/2011
33bProvider typeDentist
28Total paid$10K
24GClaims237
24DCodes billed5
24AFirst – last monthMay 2024 – Jul 2024
Compared with peers
Next to other Dentist providers in Ohio
Rank by total paid#504 of 745
Median peer was paid$38K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2024incomplete | 237 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 44% | 69 | 69 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 74 | 74 | $2K |
| D1206 | Topical application of fluoride varnish | 21% | 69 | 69 | $2K |
| D0274 | Bitewings - four radiographic images | 5.3% | 13 | 13 | $510.90 |
| D1120 | Dental cleaning, childProphylaxis - child | 4.7% | 12 | 12 | $458.64 |
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.