Broyles, Irene

Broyles, Irene was paid $2K by Medicaid between Jan 2018 and Jan 2018, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 35% of everything it billed.

33Billing provider infoBROYLES, IRENE
RAYMORE, MO 64083

33aNPI1851503163assigned 05/07/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$2K

24GClaims73

24DCodes billed4

24AFirst – last monthJan 2018 – Jan 2018

Compared with peers

Next to other General Practice Dentistry providers in Missouri

Rank by total paid#236 of 260

Median peer was paid$78K

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
2018	73	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	35%	19	19	$537.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	30%	19	19	$464.00
D1208	Topical application of fluoride, excluding varnish	18%	23	23	$276.00
D0274	Bitewings - four radiographic images	16%	12	12	$252.00

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.