Dental
Spray, Larry
Spray, Larry was paid $10K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 60% of everything it billed.
33Billing provider infoSPRAY, LARRY
PANORA, IA 50216
PANORA, IA 50216
33aNPI1891044426assigned 08/29/2012
33bProvider typeDentist
28Total paid$10K
24GClaims488
24DCodes billed4
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in Iowa
Rank by total paid#170 of 268
Median peer was paid$26K
This provider vs. median0.4×
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 | 134 | $2K | |
| 2019 | 104 | $2K | |
| 2022 | 62 | $1K | |
| 2023 | 84 | $2K | |
| 2024incomplete | 104 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 60% | 310 | 295 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 67 | 60 | $2K |
| D1206 | Topical application of fluoride varnish | 17% | 99 | 99 | $2K |
| D1110 | Prophylaxis - adult | 4.0% | 12 | 12 | $405.21 |
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.