Dental
Cordray, Tristan
Cordray, Tristan was paid $325K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.
33Billing provider infoCORDRAY, TRISTAN
SAINT STEPHEN, SC 29479
SAINT STEPHEN, SC 29479
33aNPI1619171170assigned 06/11/2007
33bProvider typeDentist
28Total paid$325K
24GClaims11,616
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in South Carolina
Rank by total paid#42 of 166
Median peer was paid$67K
This provider vs. median4.9×
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 | 1,325 | $40K | |
| 2019 | 1,565 | $43K | |
| 2020 | 1,144 | $30K | |
| 2021 | 1,739 | $49K | |
| 2022 | 1,837 | $51K | |
| 2023 | 1,887 | $52K | |
| 2024incomplete | 2,119 | $60K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 27% | 1,782 | 1,782 | $89K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 2,090 | 2,090 | $48K |
| D0140 | Limited oral evaluation - problem focused | 12% | 1,050 | 1,022 | $39K |
| D1208 | Topical application of fluoride, excluding varnish | 8.8% | 1,749 | 1,749 | $29K |
| D0272 | Bitewings - two radiographic images | 7.2% | 1,269 | 1,269 | $23K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.4% | 589 | 589 | $21K |
| D0274 | Bitewings - four radiographic images | 6.2% | 748 | 748 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 5.4% | 1,468 | 1,430 | $17K |
| D2160 | 3.7% | 125 | 91 | $12K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 247 | 247 | $10K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.1% | 88 | 77 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | 1.5% | 55 | 50 | $5K |
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.