Brown, Mary

Brown, Mary was paid $3K by Medicaid between Jan 2018 and May 2018, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 36% of everything it billed.

33Billing provider infoBROWN, MARY
THERMOPOLIS, WY 82443

33aNPI1639586571assigned 07/11/2014

33bProvider typeDentist

28Total paid$3K

24GClaims129

24DCodes billed3

24AFirst – last monthJan 2018 – May 2018

Compared with peers

Next to other Dentist providers in Wyoming

Rank by total paid#32 of 40

Median peer was paid$14K

This provider vs. median0.2×

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	129	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	36%	55	54	$1K
D1120	Dental cleaning, childProphylaxis - child	33%	27	27	$1K
D1206	Topical application of fluoride varnish	31%	47	47	$952.28

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.