Riley, John

Riley, John was paid $16K by Medicaid between Jan 2018 and Jul 2022, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.

33Billing provider infoRILEY, JOHN
WILLISTON, SC 29853

33aNPI1669524260assigned 01/17/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$16K

24GClaims528

24DCodes billed6

24AFirst – last monthJan 2018 – Jul 2022

Compared with peers

Next to other General Practice Dentistry providers in South Carolina

Rank by total paid#226 of 331

Median peer was paid$75K

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	235	$8K
2019	75	$2K
2020	123	$4K
2021	38	$874.00
2022	57	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	32%	107	107	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	28%	200	200	$5K
D0140	Limited oral evaluation - problem focused	23%	101	98	$4K
D7140	Extraction, erupted tooth or exposed root	7.6%	14	12	$1K
D0220	Intraoral - periapical first radiographic image	4.8%	64	64	$781.32
D0272	Bitewings - two radiographic images	4.6%	42	42	$744.00

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.