Dental
Ashley, David
Ashley, David was paid $3K by Medicaid between Mar 2018 and Nov 2018, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 22% of everything it billed.
33Billing provider infoASHLEY, DAVID
MARSHALL, MO 65340
MARSHALL, MO 65340
33aNPI1417952136assigned 06/17/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$3K
24GClaims151
24DCodes billed6
24AFirst – last monthMar 2018 – Nov 2018
Compared with peers
Next to other General Practice Dentistry providers in Missouri
Rank by total paid#227 of 260
Median peer was paid$78K
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 | 151 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 31 | 31 | $763.00 |
| D0210 | Intraoral - complete series of radiographic images | 19% | 16 | 16 | $652.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 19% | 16 | 16 | $645.00 |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 43 | 39 | $508.00 |
| D1110 | Prophylaxis - adult | 14% | 17 | 17 | $499.00 |
| D0272 | Bitewings - two radiographic images | 11% | 28 | 28 | $395.00 |
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.