Henley, Gary

Henley, Gary was paid $3K by Medicaid between Apr 2018 and Dec 2019, across 4 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 35% of everything it billed.

33Billing provider infoHENLEY, GARY
BERKELEY, MO 63134

33aNPI1861481707assigned 10/13/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$3K

24GClaims145

24DCodes billed4

24AFirst – last monthApr 2018 – Dec 2019

Compared with peers

Next to other General Practice Dentistry providers in Missouri

Rank by total paid#232 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	57	$1K
2019	88	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	35%	62	57	$988.56
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	35%	44	42	$987.46
D0274	Bitewings - four radiographic images	19%	26	26	$546.00
D1120	Dental cleaning, childProphylaxis - child	10%	13	12	$282.00

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.