Dental
Mitchell, Courtney
Mitchell, Courtney was paid $27K by Medicaid between Apr 2018 and May 2019, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 38% of everything it billed.
33Billing provider infoMITCHELL, COURTNEY
KINSTON, NC 28501
KINSTON, NC 28501
33aNPI1730521063assigned 07/29/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$27K
24GClaims822
24DCodes billed4
24AFirst – last monthApr 2018 – May 2019
Compared with peers
Next to other General Practice Dentistry providers in North Carolina
Rank by total paid#516 of 756
Median peer was paid$121K
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 | 585 | $18K | |
| 2019 | 237 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 38% | 421 | 414 | $10K |
| D1110 | Prophylaxis - adult | 31% | 239 | 235 | $8K |
| D4355 | 28% | 116 | 113 | $8K | |
| D1208 | Topical application of fluoride, excluding varnish | 2.5% | 46 | 46 | $675.96 |
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.