Mccoy, Rolfe

Mccoy, Rolfe was paid $7K by Medicaid between May 2018 and Dec 2019, across 6 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 40% of everything it billed.

33Billing provider infoMCCOY, ROLFE
CHILLICOTHE, MO 64601

33aNPI1811088016assigned 09/27/2006

33bProvider typeDentist

28Total paid$7K

24GClaims150

24DCodes billed6

24AFirst – last monthMay 2018 – Dec 2019

Compared with peers

Next to other Dentist providers in Missouri

Rank by total paid#224 of 284

Median peer was paid$109K

This provider vs. median0.1×

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	79	$3K
2019	71	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D8670	Periodic orthodontic treatment visit	40%	30	27	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	46	46	$2K
D1208	Topical application of fluoride, excluding varnish	15%	35	35	$1K
D1110	Prophylaxis - adult	13%	13	13	$931.00
D1120	Dental cleaning, childProphylaxis - child	5.0%	12	12	$358.00
D1206	Topical application of fluoride varnish	3.3%	14	14	$238.00

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.