Small, Bethany

Small, Bethany was paid $960.00 by Medicaid between May 2018 and Nov 2019, across 3 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 55% of everything it billed.

33Billing provider infoSMALL, BETHANY
AVON LAKE, OH 44012

33aNPI1407928682assigned 11/14/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$960.00

24GClaims61

24DCodes billed3

24AFirst – last monthMay 2018 – Nov 2019

Compared with peers

Next to other General Practice Dentistry providers in Ohio

Rank by total paid#762 of 870

Median peer was paid$40K

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
2018	13	$195.00
2019	48	$765.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	55%	36	36	$525.00
D1120	Dental cleaning, childProphylaxis - child	25%	12	12	$240.00
D1208	Topical application of fluoride, excluding varnish	20%	13	13	$195.00

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.