Dental
Mccoy Samples Mattingly Dental Clinic
Mccoy Samples Mattingly Dental Clinic was paid $115K by Medicaid between Mar 2021 and Nov 2024, across 10 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 47% of everything it billed.
33Billing provider infoMCCOY SAMPLES MATTINGLY DENTAL CLINIC
CHILLICOTHE, MO 64601
CHILLICOTHE, MO 64601
33aNPI1457551483assigned 07/18/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$115K
24GClaims2,473
24DCodes billed10
24AFirst – last monthMar 2021 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Missouri
Rank by total paid#113 of 260
Median peer was paid$78K
This provider vs. median1.5×
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 | 51 | $1K | |
| 2022 | 896 | $38K | |
| 2023 | 742 | $41K | |
| 2024incomplete | 784 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 47% | 1,045 | 984 | $54K |
| D7140 | Extraction, erupted tooth or exposed root | 12% | 322 | 82 | $14K |
| D0330 | Panoramic radiographic image | 10% | 151 | 143 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 9.1% | 491 | 456 | $10K |
| D1110 | Prophylaxis - adult | 8.8% | 138 | 135 | $10K |
| D0274 | Bitewings - four radiographic images | 4.7% | 100 | 98 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.6% | 22 | 16 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 167 | 73 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 25 | 25 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | 12 | $828.68 |
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.
From NPPES
Who's on the registration
Authorized officialMCCOY, ROLFE (CEO)