Dental
Metcalf, Ashley
Metcalf, Ashley was paid $18K by Medicaid between Aug 2018 and Jul 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 44% of everything it billed.
33Billing provider infoMETCALF, ASHLEY
BEMIDJI, MN 56601
BEMIDJI, MN 56601
33aNPI1881186625assigned 06/06/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$18K
24GClaims514
24DCodes billed6
24AFirst – last monthAug 2018 – Jul 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#188 of 368
Median peer was paid$19K
This provider vs. median1.0×
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 | 34 | $0.00 | |
| 2020 | 64 | $2K | |
| 2021 | 53 | $1K | |
| 2022 | 51 | $2K | |
| 2023 | 260 | $11K | |
| 2024incomplete | 52 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 44% | 202 | 201 | $8K |
| D1206 | Topical application of fluoride varnish | 37% | 214 | 214 | $7K |
| D1110 | Prophylaxis - adult | 16% | 52 | 52 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.3% | 12 | 12 | $605.04 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 17 | 17 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 17 | 17 | $0.00 |
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.