Mistry, Jay

Mistry, Jay was paid $19K by Medicaid between Oct 2019 and Jun 2020, across 11 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 39% of everything it billed.

33Billing provider infoMISTRY, JAY
NEVADA, MO 64772

33aNPI1750940862assigned 06/12/2019

33bProvider typeGeneral Practice Dentistry

28Total paid$19K

24GClaims865

24DCodes billed11

24AFirst – last monthOct 2019 – Jun 2020

Compared with peers

Next to other General Practice Dentistry providers in Missouri

Rank by total paid#188 of 260

Median peer was paid$78K

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
2019	59	$1K
2020	806	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	39%	331	328	$7K
D0330	Panoramic radiographic image	14%	63	63	$3K
D2954		12%	18	17	$2K
D7140	Extraction, erupted tooth or exposed root	9.1%	30	13	$2K
D0274	Bitewings - four radiographic images	6.6%	66	66	$1K
D0220	Intraoral - periapical first radiographic image	5.0%	197	194	$955.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	4.3%	49	49	$819.84
D1206	Topical application of fluoride varnish	3.8%	50	50	$720.00
D1110	Prophylaxis - adult	2.7%	15	15	$511.95
D1120	Dental cleaning, childProphylaxis - child	2.5%	27	27	$480.00
D0230	Intraoral - periapical each additional radiographic image	<1%	19	16	$90.00

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.