Maynard, Everett
Maynard, Everett was paid $13K by Medicaid between May 2018 and Jun 2020, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 35% of everything it billed.
33Billing provider infoMAYNARD, EVERETT
CASPER, WY 82609
CASPER, WY 82609
33aNPI1912347253assigned 07/01/2013
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$13K
24GClaims384
24DCodes billed4
24AFirst – last monthMay 2018 – Jun 2020
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 | 155 | $6K | |
| 2019 | 176 | $5K | |
| 2020 | 53 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 35% | 140 | 139 | $5K |
| D1206 | Topical application of fluoride varnish | 27% | 136 | 135 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 94 | 93 | $3K |
| D0272 | Bitewings - two radiographic images | 14% | 14 | 14 | $2K |
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.