Bolt, Raymond

Bolt, Raymond was paid $16K by Medicaid between Jan 2018 and Dec 2018, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.

33Billing provider infoBOLT, RAYMOND
AUBURN, AL 36830

33aNPI1497833552assigned 11/02/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$16K

24GClaims718

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2018

Compared with peers

Next to other General Practice Dentistry providers in Alabama

Rank by total paid#175 of 293

Median peer was paid$31K

This provider vs. median0.5×

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
2018	718	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	26%	137	123	$4K
D0330	Panoramic radiographic image	22%	86	81	$3K
D0274	Bitewings - four radiographic images	18%	141	126	$3K
D1208	Topical application of fluoride, excluding varnish	16%	186	175	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	123	116	$2K
D1120	Dental cleaning, childProphylaxis - child	2.3%	17	14	$372.00
D0150	Comprehensive oral evaluation - new or established patient	1.9%	13	12	$303.00
D0272	Bitewings - two radiographic images	1.2%	15	13	$193.00

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.