Dental
Dollens, Gary
Dollens, Gary was paid $751K by Medicaid between Jan 2018 and Jul 2020, across 20 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoDOLLENS, GARY
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
33aNPI1750444840assigned 12/19/2006
33bProvider typeDentist
28Total paid$751K
24GClaims32,527
24DCodes billed20
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Dentist providers in Missouri
Rank by total paid#30 of 284
Median peer was paid$109K
This provider vs. median6.9×
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 | 13,567 | $361K | |
| 2019 | 12,925 | $269K | |
| 2020 | 6,035 | $121K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 2,135 | 1,545 | $132K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 4,077 | 4,001 | $102K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.6% | 3,709 | 3,637 | $72K |
| D0274 | Bitewings - four radiographic images | 9.1% | 3,307 | 3,250 | $68K |
| D1206 | Topical application of fluoride varnish | 8.6% | 5,062 | 4,967 | $64K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.0% | 1,232 | 982 | $60K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 1,106 | 1,096 | $41K |
| D1110 | Prophylaxis - adult | 5.1% | 1,437 | 1,413 | $38K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.4% | 345 | 292 | $26K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.3% | 2,664 | 1,410 | $25K |
| D0330 | Panoramic radiographic image | 3.1% | 1,070 | 1,070 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 2,500 | 2,450 | $21K |
8 more codes
| D1351 | Sealant - per tooth | 2.8% | 1,123 | $21K |
| D0210 | Intraoral - complete series of radiographic images | 2.0% | 758 | $15K |
| D0272 | Bitewings - two radiographic images | 1.8% | 1,006 | $14K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 564 | $12K |
| D0145 | Oral evaluation for a patient under three years of age | 1.1% | 286 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 77 | $4K |
| D2331 | <1% | 57 | $3K | |
| D3120 | <1% | 12 | $336.00 |
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.