Autry, Daniel

Autry, Daniel was paid $13K by Medicaid between Feb 2020 and Jun 2020, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.

33Billing provider infoAUTRY, DANIEL
HOUSE SPRINGS, MO 63051

33aNPI1740275593assigned 09/19/2005

33bProvider typePediatric Dentist

28Total paid$13K

24GClaims351

24DCodes billed7

24AFirst – last monthFeb 2020 – Jun 2020

Compared with peers

Next to other Pediatric Dentist providers in Missouri

Rank by total paid#29 of 39

Median peer was paid$73K

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
2020	351	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	21%	61	61	$3K
D1206	Topical application of fluoride varnish	21%	72	71	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	50	50	$2K
D0220	Intraoral - periapical first radiographic image	14%	72	72	$2K
D0140	Limited oral evaluation - problem focused	11%	18	18	$1K
D0272	Bitewings - two radiographic images	10%	36	36	$1K
D0230	Intraoral - periapical each additional radiographic image	9.7%	42	34	$1K

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.