Dental
Fortner, Sybil
Fortner, Sybil was paid $291K by Medicaid between Jan 2018 and May 2020, across 14 billing codes. Its largest line is D1351, Sealant - per tooth — 24% of everything it billed.
33Billing provider infoFORTNER, SYBIL
AVA, MO 65608
AVA, MO 65608
33aNPI1568665883assigned 06/06/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$291K
24GClaims6,329
24DCodes billed14
24AFirst – last monthJan 2018 – May 2020
Compared with peers
Next to other General Practice Dentistry providers in Missouri
Rank by total paid#59 of 260
Median peer was paid$78K
This provider vs. median3.7×
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 | 2,187 | $109K | |
| 2019 | 3,226 | $142K | |
| 2020 | 916 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 24% | 1,671 | 492 | $69K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 886 | 870 | $42K |
| D1206 | Topical application of fluoride varnish | 12% | 1,134 | 1,115 | $36K |
| D0330 | Panoramic radiographic image | 11% | 357 | 356 | $33K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.7% | 446 | 436 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.2% | 647 | 639 | $24K |
| D0272 | Bitewings - two radiographic images | 7.7% | 680 | 672 | $23K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.0% | 70 | 40 | $12K |
| D1110 | Prophylaxis - adult | 3.9% | 156 | 155 | $11K |
| D0274 | Bitewings - four radiographic images | 2.8% | 166 | 165 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 17 | 12 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 40 | 40 | $2K |
2 more codes
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.