Dental
Baxter, Lane
Baxter, Lane was paid $66K by Medicaid between Jan 2018 and Jul 2024, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 39% of everything it billed.
33Billing provider infoBAXTER, LANE
RALEIGH, MS 39153
RALEIGH, MS 39153
33aNPI1831484609assigned 06/09/2011
33bProvider typePublic Health Dentist
28Total paid$66K
24GClaims4,033
24DCodes billed8
24AFirst – last monthJan 2018 – Jul 2024
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 | 598 | $0.00 | |
| 2019 | 578 | $9K | |
| 2020 | 817 | $15K | |
| 2021 | 618 | $12K | |
| 2022 | 641 | $14K | |
| 2023 | 449 | $9K | |
| 2024incomplete | 332 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 39% | 1,248 | 935 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 552 | 490 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 522 | 437 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.2% | 360 | 167 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 6.5% | 440 | 347 | $4K |
| D1206 | Topical application of fluoride varnish | 6.0% | 414 | 236 | $4K |
| D0274 | Bitewings - four radiographic images | 4.9% | 158 | 118 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.9% | 339 | 282 | $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.