Dental
Liles, Antoinette
Liles, Antoinette was paid $252K by Medicaid between Jan 2018 and Jan 2019, across 17 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 23% of everything it billed.
33Billing provider infoLILES, ANTOINETTE
PEARL, MS 39208
PEARL, MS 39208
33aNPI1487035366assigned 06/16/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$252K
24GClaims6,817
24DCodes billed17
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers
Next to other General Practice Dentistry providers in Mississippi
Rank by total paid#110 of 379
Median peer was paid$78K
This provider vs. median3.2×
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 | 6,678 | $249K | |
| 2019 | 139 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 23% | 602 | 267 | $57K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 13% | 277 | 129 | $33K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 882 | 761 | $31K |
| D1351 | Sealant - per tooth | 9.7% | 1,012 | 181 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.3% | 979 | 815 | $23K |
| D1206 | Topical application of fluoride varnish | 6.6% | 834 | 735 | $17K |
| D0140 | Limited oral evaluation - problem focused | 5.4% | 394 | 324 | $14K |
| D0330 | Panoramic radiographic image | 4.8% | 328 | 299 | $12K |
| D0274 | Bitewings - four radiographic images | 2.9% | 340 | 295 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.7% | 258 | 215 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 2.6% | 105 | 100 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.4% | 73 | 42 | $6K |
5 more codes
| D0272 | Bitewings - two radiographic images | 2.2% | 317 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 44 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 298 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 61 | $620.48 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 13 | $233.40 |
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.