Dental
Bentley, Zackary
Bentley, Zackary was paid $36K by Medicaid between Oct 2019 and Nov 2020, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoBENTLEY, ZACKARY
STATESBORO, GA 30458
STATESBORO, GA 30458
33aNPI1568717056assigned 07/20/2012
33bProvider typeDentist
28Total paid$36K
24GClaims1,339
24DCodes billed12
24AFirst – last monthOct 2019 – Nov 2020
Compared with peers
Next to other Dentist providers in Georgia
Rank by total paid#34 of 55
Median peer was paid$64K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2019 | 691 | $17K | |
| 2020 | 648 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 280 | 280 | $9K |
| D1206 | Topical application of fluoride varnish | 20% | 298 | 298 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 208 | 208 | $5K |
| D0274 | Bitewings - four radiographic images | 9.8% | 106 | 106 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.4% | 120 | 120 | $3K |
| D0330 | Panoramic radiographic image | 5.4% | 39 | 39 | $2K |
| D1351 | Sealant - per tooth | 4.3% | 51 | 17 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 74 | 47 | $1K |
| D1110 | Prophylaxis - adult | 3.7% | 47 | 47 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 85 | 83 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.1% | 15 | 15 | $403.65 |
| D0272 | Bitewings - two radiographic images | 1.1% | 16 | 16 | $386.24 |
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.