Blossom, Mary

Blossom, Mary was paid $3K by Medicaid between Feb 2018 and Aug 2020, across 4 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 40% of everything it billed.

33Billing provider infoBLOSSOM, MARY
MORTON, MS 39117

33aNPI1477991552assigned 06/11/2013

33bProvider typeDentist

28Total paid$3K

24GClaims433

24DCodes billed4

24AFirst – last monthFeb 2018 – Aug 2020

Compared with peers

Next to other Dentist providers in Mississippi

Rank by total paid#220 of 261

Median peer was paid$64K

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	299	$0.00
2019	25	$783.86
2020	109	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0274	Bitewings - four radiographic images	40%	84	62	$1K
D1120	Dental cleaning, childProphylaxis - child	32%	143	82	$1K
D1206	Topical application of fluoride varnish	15%	89	55	$499.80
D0150	Comprehensive oral evaluation - new or established patient	13%	117	53	$419.38

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.