Payne, Larry

Payne, Larry was paid $116K by Medicaid between Jan 2018 and Dec 2021, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 39% of everything it billed.

33Billing provider infoPAYNE, LARRY
WATERLOO, IN 46793

33aNPI1487703286assigned 01/09/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$116K

24GClaims4,028

24DCodes billed14

24AFirst – last monthJan 2018 – Dec 2021

Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#290 of 723

Median peer was paid$60K

This provider vs. median1.9×

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	785	$4K
2019	1,106	$35K
2020	1,122	$43K
2021	1,015	$34K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	39%	1,172	1,084	$45K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	22%	1,367	1,270	$25K
D0274	Bitewings - four radiographic images	8.8%	322	297	$10K
D1120	Dental cleaning, childProphylaxis - child	7.3%	330	301	$8K
D0330	Panoramic radiographic image	6.5%	128	112	$7K
D0150	Comprehensive oral evaluation - new or established patient	4.1%	156	136	$5K
D1206	Topical application of fluoride varnish	3.4%	238	214	$4K
D1208	Topical application of fluoride, excluding varnish	2.5%	212	186	$3K
D2331		1.7%	19	12	$2K
D2150	Silver amalgam - two surfaces, primary or permanent	1.4%	18	12	$2K
D2330		1.1%	20	14	$1K
D2140		<1%	17	13	$1K

2 more codes

D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	16	$1K
D0140	Limited oral evaluation - problem focused	<1%	13	$559.88

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.