Dental
O'bryan Dental Clinic
O'bryan Dental Clinic was paid $27K by Medicaid between Jul 2018 and Aug 2024, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.
33Billing provider infoO'BRYAN DENTAL CLINIC
BRANDON, MS 39042
BRANDON, MS 39042
33aNPI1639424963assigned 07/24/2012
33bProvider typeDentist
28Total paid$27K
24GClaims1,747
24DCodes billed7
24AFirst – last monthJul 2018 – Aug 2024
Compared with peers
Next to other Dentist providers in Mississippi
Rank by total paid#163 of 261
Median peer was paid$64K
This provider vs. median0.4×
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 | 579 | $2K | |
| 2019 | 502 | $14K | |
| 2020 | 363 | $5K | |
| 2021 | 126 | $779.47 | |
| 2022 | 87 | $2K | |
| 2023 | 12 | $383.46 | |
| 2024incomplete | 78 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 41% | 569 | 405 | $11K |
| D1206 | Topical application of fluoride varnish | 30% | 525 | 363 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 265 | 118 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 6.4% | 25 | 25 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.2% | 74 | 67 | $2K |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 17 | 14 | $543.70 |
| D1999 | 0% | 272 | 243 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialO'BRYAN, TANYA (OWNER/DENTIST)