Bagby, Mark

Bagby, Mark was paid $242K by Medicaid between Jan 2018 and Jul 2020, across 14 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 25% of everything it billed.

33Billing provider infoBAGBY, MARK
LAKE OZARK, MO 65049

33aNPI1477755775assigned 05/31/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$242K

24GClaims3,068

24DCodes billed14

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other General Practice Dentistry providers in Missouri

Rank by total paid#72 of 260

Median peer was paid$78K

This provider vs. median3.1×

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	1,362	$136K
2019	850	$65K
2020	856	$40K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2391	Resin-based composite - one surface, posterior, primary or permanent	25%	376	185	$60K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	25%	290	184	$60K
D0150	Comprehensive oral evaluation - new or established patient	11%	345	342	$26K
D1120	Dental cleaning, childProphylaxis - child	8.5%	355	352	$21K
D1206	Topical application of fluoride varnish	7.8%	533	525	$19K
D1110	Prophylaxis - adult	4.6%	143	142	$11K
D0274	Bitewings - four radiographic images	4.1%	176	173	$10K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	4.0%	227	221	$10K
D1351	Sealant - per tooth	3.5%	209	51	$8K
D0140	Limited oral evaluation - problem focused	2.0%	80	78	$5K
D0220	Intraoral - periapical first radiographic image	1.7%	164	158	$4K
D0330	Panoramic radiographic image	1.6%	46	45	$4K

2 more codes

D0230	Intraoral - periapical each additional radiographic image	1.2%	61	$3K
D0272	Bitewings - two radiographic images	<1%	63	$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.