Dental
Bledsoe, Ricky
Bledsoe, Ricky was paid $171K by Medicaid between Jan 2018 and Mar 2023, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoBLEDSOE, RICKY
WHITMIRE, SC 29178
WHITMIRE, SC 29178
33aNPI1811059504assigned 12/16/2006
33bProvider typeDentist
28Total paid$171K
24GClaims5,346
24DCodes billed14
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Dentist providers in South Carolina
Rank by total paid#60 of 166
Median peer was paid$67K
This provider vs. median2.6×
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 | 1,568 | $55K | |
| 2019 | 1,494 | $49K | |
| 2020 | 826 | $25K | |
| 2021 | 879 | $26K | |
| 2022 | 519 | $15K | |
| 2023 | 60 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 1,019 | 1,009 | $51K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 1,096 | 1,090 | $24K |
| D0330 | Panoramic radiographic image | 9.5% | 328 | 323 | $16K |
| D0272 | Bitewings - two radiographic images | 9.3% | 850 | 841 | $16K |
| D7140 | Extraction, erupted tooth or exposed root | 9.1% | 175 | 105 | $15K |
| D1206 | Topical application of fluoride varnish | 6.0% | 631 | 625 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 227 | 222 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 4.5% | 637 | 604 | $8K |
| D2332 | 4.5% | 79 | 46 | $8K | |
| D1120 | Dental cleaning, childProphylaxis - child | 2.3% | 113 | 113 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 116 | 98 | $4K |
| D2160 | 1.9% | 36 | 30 | $3K |
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.