E C Tyree Health & Dental Clinic, INC.

E C Tyree Health & Dental Clinic, INC. was paid $65K by Medicaid between Jan 2018 and Jun 2019, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 18% of everything it billed.

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	1,775	$41K
2019	1,027	$23K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	18%	336	319	$11K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	374	316	$9K
D1351	Sealant - per tooth	13%	368	47	$9K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	9.6%	189	162	$6K
D1208	Topical application of fluoride, excluding varnish	7.8%	349	317	$5K
D0150	Comprehensive oral evaluation - new or established patient	7.1%	169	165	$5K
D0274	Bitewings - four radiographic images	5.6%	136	129	$4K
D0140	Limited oral evaluation - problem focused	5.2%	133	122	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	5.2%	194	178	$3K
D0220	Intraoral - periapical first radiographic image	4.3%	274	247	$3K
D7140	Extraction, erupted tooth or exposed root	4.0%	40	13	$3K
D1120	Dental cleaning, childProphylaxis - child	3.8%	112	95	$2K

4 more codes

D0210	Intraoral - complete series of radiographic images	1.0%	14	$660.00
D0230	Intraoral - periapical each additional radiographic image	<1%	61	$493.00
99201		<1%	23	$486.78
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	30	$439.83

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.

From NPPES

Who's on the registration

Authorized officialJAMES BOYD, SCHAUNTA (EXECUTIVE DIRECTOR)