Dental
Gray, Peter
Gray, Peter was paid $565.00 by Medicaid between Aug 2018 and Aug 2018, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 56% of everything it billed.
33Billing provider infoGRAY, PETER
INDEPENDENCE, MO 64055
INDEPENDENCE, MO 64055
33aNPI1861494585assigned 08/12/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$565.00
24GClaims28
24DCodes billed2
24AFirst – last monthAug 2018 – Aug 2018
Compared with peers
Next to other General Practice Dentistry providers in Missouri
Rank by total paid#250 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 | 28 | $565.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 56% | 12 | 12 | $318.00 |
| D0272 | Bitewings - two radiographic images | 44% | 16 | 16 | $247.00 |
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.