Dental
Rains, Riley
Rains, Riley was paid $666K by Medicaid between Jan 2018 and Jul 2020, across 19 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 13% of everything it billed.
33Billing provider infoRAINS, RILEY
KIRKSVILLE, MO 63501
KIRKSVILLE, MO 63501
33aNPI1548641749assigned 06/12/2015
33bProvider typeDentist
28Total paid$666K
24GClaims12,818
24DCodes billed19
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Dentist providers in Missouri
Rank by total paid#37 of 284
Median peer was paid$109K
This provider vs. median6.1×
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 | 5,824 | $330K | |
| 2019 | 4,828 | $213K | |
| 2020 | 2,166 | $123K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 13% | 2,714 | 2,667 | $89K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 2,370 | 2,330 | $79K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 1,812 | 1,782 | $74K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 11% | 592 | 412 | $70K |
| D0274 | Bitewings - four radiographic images | 8.9% | 1,406 | 1,390 | $59K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.9% | 457 | 336 | $52K |
| D1110 | Prophylaxis - adult | 7.4% | 811 | 798 | $49K |
| D0330 | Panoramic radiographic image | 5.4% | 442 | 435 | $36K |
| D7140 | Extraction, erupted tooth or exposed root | 4.6% | 274 | 163 | $31K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.4% | 159 | 122 | $23K |
| D2160 | 3.2% | 145 | 112 | $21K | |
| D1351 | Sealant - per tooth | 2.7% | 403 | 122 | $18K |
7 more codes
| D0272 | Bitewings - two radiographic images | 2.6% | 539 | $17K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 164 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 172 | $11K |
| D2140 | 1.6% | 105 | $10K | |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 140 | $9K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 86 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 27 | $1K |
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.