Dental
Spain, Murray
Spain, Murray was paid $1K by Medicaid between Jun 2021 and Jun 2021, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 51% of everything it billed.
33Billing provider infoSPAIN, MURRAY
BLACKSBURG, SC 29702
BLACKSBURG, SC 29702
33aNPI1376613505assigned 11/08/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$1K
24GClaims52
24DCodes billed3
24AFirst – last monthJun 2021 – Jun 2021
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#304 of 331
Median peer was paid$75K
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 | |
|---|---|---|---|
| 2021 | 52 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 51% | 17 | 15 | $660.66 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 21 | 19 | $322.40 |
| D0274 | Bitewings - four radiographic images | 24% | 14 | 13 | $303.60 |
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.