Dental
Tipton, Blayne
Tipton, Blayne was paid $18K by Medicaid between Nov 2024 and Nov 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 20% of everything it billed.
33Billing provider infoTIPTON, BLAYNE
HOT SPRINGS, AR 71901
HOT SPRINGS, AR 71901
33aNPI1831301951assigned 05/03/2007
33bProvider typePediatric Dentist
28Total paid$18K
24GClaims633
24DCodes billed10
24AFirst – last monthNov 2024 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Arkansas
Rank by total paid#51 of 60
Median peer was paid$1.02M
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 633 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 139 | 136 | $4K |
| D1110 | Prophylaxis - adult | 15% | 57 | 57 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 79 | 77 | $3K |
| D0272 | Bitewings - two radiographic images | 15% | 111 | 111 | $3K |
| D1206 | Topical application of fluoride varnish | 14% | 131 | 129 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.5% | 18 | 14 | $1K |
| D0330 | Panoramic radiographic image | 4.9% | 15 | 15 | $877.80 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.2% | 30 | 30 | $758.00 |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 40 | 40 | $712.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.0% | 13 | 13 | $185.25 |
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.