Dental
Ly, An
Ly, An was paid $87K by Medicaid between Jun 2023 and Apr 2024, across 21 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoLY, AN
WICHITA FALLS, TX 76308
WICHITA FALLS, TX 76308
33aNPI1811666464assigned 09/08/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$87K
24GClaims6,288
24DCodes billed21
24AFirst – last monthJun 2023 – Apr 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,133 of 2,774
Median peer was paid$43K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2023 | 3,274 | $44K | |
| 2024incomplete | 3,014 | $44K |
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 | 15% | 269 | 163 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 549 | 544 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 645 | 640 | $9K |
| D1110 | Prophylaxis - adult | 8.8% | 287 | 284 | $8K |
| D1351 | Sealant - per tooth | 8.1% | 682 | 110 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.5% | 183 | 127 | $7K |
| D1206 | Topical application of fluoride varnish | 6.9% | 842 | 834 | $6K |
| D0274 | Bitewings - four radiographic images | 6.2% | 322 | 320 | $5K |
| D0145 | Oral evaluation for a patient under three years of age | 5.6% | 71 | 71 | $5K |
| D0272 | Bitewings - two radiographic images | 5.5% | 410 | 409 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 193 | 189 | $3K |
| D0330 | Panoramic radiographic image | 3.1% | 192 | 188 | $3K |
9 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 366 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 318 | $2K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.9% | 23 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 14 | $694.85 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 32 | $433.92 |
| D0140 | Limited oral evaluation - problem focused | <1% | 15 | $140.85 |
| D0601 | 0% | 55 | $0.00 | |
| D0603 | 0% | 754 | $0.00 | |
| D0602 | 0% | 66 | $0.00 |
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.