Dental
Williams, Bradley
Williams, Bradley was paid $57K by Medicaid between Jan 2018 and Jul 2020, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 37% of everything it billed.
33Billing provider infoWILLIAMS, BRADLEY
INDEPENDENCE, MO 64055
INDEPENDENCE, MO 64055
33aNPI1861878308assigned 08/06/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$57K
24GClaims2,507
24DCodes billed10
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other General Practice Dentistry providers in Missouri
Rank by total paid#148 of 260
Median peer was paid$78K
This provider vs. median0.7×
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 | 1,113 | $23K | |
| 2019 | 1,179 | $29K | |
| 2020 | 215 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 37% | 601 | 587 | $21K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 781 | 772 | $14K |
| D1206 | Topical application of fluoride varnish | 9.8% | 386 | 382 | $6K |
| D0274 | Bitewings - four radiographic images | 7.5% | 240 | 236 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.3% | 156 | 147 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.1% | 130 | 125 | $4K |
| D0330 | Panoramic radiographic image | 5.3% | 133 | 128 | $3K |
| D0140 | Limited oral evaluation - problem focused | 1.7% | 38 | 38 | $964.75 |
| D0210 | Intraoral - complete series of radiographic images | 1.2% | 15 | 14 | $688.19 |
| D0272 | Bitewings - two radiographic images | <1% | 27 | 26 | $429.92 |
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.