Dental
Metcalf, Billy
Metcalf, Billy was paid $2.04M by Medicaid between Nov 2020 and Dec 2024, across 29 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 31% of everything it billed.
33Billing provider infoMETCALF, BILLY
AMARILLO, TX 79119
AMARILLO, TX 79119
33aNPI1356465074assigned 03/19/2007
33bProvider typePediatric Dentist
28Total paid$2.04M
24GClaims66,845
24DCodes billed29
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#115 of 693
Median peer was paid$252K
This provider vs. median8.1×
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 | |
|---|---|---|---|
| 2020 | 1,809 | $43K | |
| 2021 | 16,294 | $502K | |
| 2022 | 18,432 | $581K | |
| 2023 | 17,401 | $568K | |
| 2024incomplete | 12,909 | $348K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 31% | 4,759 | 941 | $626K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.2% | 5,668 | 5,450 | $188K |
| D0145 | Oral evaluation for a patient under three years of age | 8.4% | 1,273 | 1,233 | $171K |
| D1351 | Sealant - per tooth | 8.3% | 6,787 | 1,551 | $169K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.3% | 6,453 | 6,255 | $169K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.8% | 1,470 | 851 | $99K |
| D1208 | Topical application of fluoride, excluding varnish | 4.6% | 7,045 | 6,797 | $94K |
| D0272 | Bitewings - two radiographic images | 4.5% | 4,508 | 4,300 | $92K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.3% | 749 | 368 | $67K |
| D1110 | Prophylaxis - adult | 3.3% | 1,368 | 1,328 | $67K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.4% | 1,976 | 1,714 | $48K |
| D0274 | Bitewings - four radiographic images | 2.2% | 1,479 | 1,434 | $45K |
17 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 3,673 | $39K |
| D1352 | 1.8% | 1,226 | $36K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 3,509 | $31K |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 417 | $26K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 894 | $25K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 407 | $19K |
| D0330 | Panoramic radiographic image | <1% | 473 | $13K |
| D0140 | Limited oral evaluation - problem focused | <1% | 389 | $6K |
| D0240 | <1% | 566 | $4K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 54 | $4K |
| D9420 | <1% | 73 | $2K | |
| D7111 | <1% | 196 | $2K | |
| D1999 | 0% | 1,175 | $0.00 | |
| D0601 | 0% | 190 | $0.00 | |
| D0603 | 0% | 9,178 | $0.00 | |
| D0602 | 0% | 865 | $0.00 | |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 25 | $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.