Rayburn, Harry

Rayburn, Harry was paid $4K by Medicaid between Dec 2018 and Nov 2019, across 2 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 59% of everything it billed.

33Billing provider infoRAYBURN, HARRY
TUPELO, MS 38804

33aNPI1407064306assigned 05/21/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$4K

24GClaims185

24DCodes billed2

24AFirst – last monthDec 2018 – Nov 2019

Compared with peers

Next to other General Practice Dentistry providers in Mississippi

Rank by total paid#311 of 379

Median peer was paid$78K

This provider vs. median0.1×

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
2018	86	$970.62
2019	99	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	59%	93	72	$2K
D1120	Dental cleaning, childProphylaxis - child	41%	92	72	$2K

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.