Dental
Mayes, Elisha
Mayes, Elisha was paid $194.00 by Medicaid between Jun 2018 and Apr 2023, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.
33Billing provider infoMAYES, ELISHA
LA GRANDE, OR 97850
LA GRANDE, OR 97850
33aNPI1295859742assigned 03/19/2007
33bProvider typeDentist
28Total paid$194.00
24GClaims322
24DCodes billed6
24AFirst – last monthJun 2018 – Apr 2023
Compared with peers
Next to other Dentist providers in Oregon
Rank by total paid#209 of 233
Median peer was paid$19K
This provider vs. median0.0×
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 | 41 | $0.00 | |
| 2021 | 128 | $118.00 | |
| 2022 | 51 | $0.00 | |
| 2023 | 102 | $76.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 41% | 14 | 14 | $80.00 |
| D1208 | Topical application of fluoride, excluding varnish | 39% | 75 | 75 | $76.00 |
| D1206 | Topical application of fluoride varnish | 20% | 15 | 15 | $38.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 40 | 39 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 13 | 13 | $0.00 |
| D1330 | 0% | 165 | 165 | $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.