Dental
Raybould, Justin
Raybould, Justin was paid $2.75M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoRAYBOULD, JUSTIN
LEXINGTON, KY 40515
LEXINGTON, KY 40515
33aNPI1689817579assigned 04/08/2009
33bProvider typePediatric Dentist
28Total paid$2.75M
24GClaims87,489
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Kentucky
Rank by total paid#18 of 134
Median peer was paid$467K
This provider vs. median5.9×
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 | 12,179 | $363K | |
| 2019 | 14,049 | $402K | |
| 2020 | 12,508 | $359K | |
| 2021 | 17,647 | $555K | |
| 2022 | 14,176 | $489K | |
| 2023 | 8,044 | $266K | |
| 2024incomplete | 8,886 | $321K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 14,381 | 13,795 | $729K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.3% | 9,380 | 9,042 | $257K |
| D1208 | Topical application of fluoride, excluding varnish | 8.6% | 15,920 | 15,278 | $237K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.3% | 2,015 | 709 | $229K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.4% | 2,703 | 1,543 | $177K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.8% | 7,393 | 7,014 | $159K |
| D1351 | Sealant - per tooth | 5.5% | 7,594 | 1,851 | $151K |
| D0330 | Panoramic radiographic image | 4.8% | 3,142 | 3,022 | $133K |
| D0272 | Bitewings - two radiographic images | 4.2% | 6,459 | 6,225 | $117K |
| D1110 | Prophylaxis - adult | 4.0% | 2,223 | 2,081 | $110K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.4% | 1,728 | 1,048 | $93K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 2,285 | 2,083 | $81K |
16 more codes
| D0140 | Limited oral evaluation - problem focused | 2.3% | 1,932 | $64K |
| D0274 | Bitewings - four radiographic images | 2.3% | 2,163 | $62K |
| D7140 | Extraction, erupted tooth or exposed root | 1.5% | 771 | $43K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 3,222 | $31K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 288 | $23K |
| D2335 | <1% | 217 | $20K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 44 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,593 | $11K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 48 | $3K |
| D1354 | <1% | 195 | $2K | |
| D2330 | <1% | 20 | $987.20 | |
| D0270 | <1% | 26 | $237.98 | |
| D9420 | <1% | 14 | $202.80 | |
| D0603 | 0% | 49 | $0.00 | |
| D9987 | 0% | 171 | $0.00 | |
| D9986 | 0% | 1,513 | $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.