Dental
Elliott, Mary
Elliott, Mary was paid $625K by Medicaid between Jan 2018 and Mar 2020, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 12% of everything it billed.
33Billing provider infoELLIOTT, MARY
JEFFERSON CITY, MO 65109
JEFFERSON CITY, MO 65109
33aNPI1316395312assigned 05/31/2016
33bProvider typeDentist
28Total paid$625K
24GClaims10,351
24DCodes billed19
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Dentist providers in Missouri
Rank by total paid#42 of 284
Median peer was paid$109K
This provider vs. median5.8×
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 | 4,536 | $331K | |
| 2019 | 4,757 | $246K | |
| 2020 | 1,058 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 1,230 | 1,212 | $77K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,557 | 1,534 | $71K |
| D1206 | Topical application of fluoride varnish | 11% | 1,859 | 1,832 | $71K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.5% | 283 | 196 | $53K |
| D1110 | Prophylaxis - adult | 8.0% | 632 | 624 | $50K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 7.6% | 263 | 179 | $47K |
| D0274 | Bitewings - four radiographic images | 7.4% | 808 | 790 | $46K |
| D0272 | Bitewings - two radiographic images | 7.1% | 1,065 | 1,049 | $45K |
| D0330 | Panoramic radiographic image | 4.5% | 278 | 277 | $28K |
| D7140 | Extraction, erupted tooth or exposed root | 4.5% | 169 | 104 | $28K |
| D1351 | Sealant - per tooth | 4.4% | 576 | 192 | $27K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 318 | 310 | $25K |
7 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 3.5% | 490 | $22K |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 677 | $18K |
| D2140 | 1.6% | 66 | $10K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 29 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 20 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 16 | $775.00 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 15 | $483.00 |
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.