Dental
Oliver, Courtney
Oliver, Courtney was paid $14K by Medicaid between Jan 2018 and Apr 2022, across 7 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 66% of everything it billed.
33Billing provider infoOLIVER, COURTNEY
JAMESTOWN, NY 14701
JAMESTOWN, NY 14701
33aNPI1295285484assigned 10/11/2016
33bProvider typeDentist
28Total paid$14K
24GClaims367
24DCodes billed7
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#1,101 of 1,649
Median peer was paid$49K
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 | |
|---|---|---|---|
| 2018 | 60 | $8K | |
| 2019 | 13 | $2K | |
| 2021 | 71 | $1K | |
| 2022 | 223 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9999 | Unspecified adjunctive procedure, by report | 66% | 73 | 70 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 87 | 87 | $2K |
| D1206 | Topical application of fluoride varnish | 8.9% | 85 | 85 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 24 | 24 | $632.40 |
| D1354 | 3.6% | 35 | 12 | $525.00 | |
| D0272 | Bitewings - two radiographic images | 3.4% | 49 | 49 | $490.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.7% | 14 | 14 | $239.12 |
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.