Dental
George, Mary
George, Mary was paid $6K by Medicaid between Aug 2024 and Dec 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 42% of everything it billed.
33Billing provider infoGEORGE, MARY
CLARKSVILLE, TN 37043
CLARKSVILLE, TN 37043
33aNPI1952324493assigned 07/25/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$6K
24GClaims246
24DCodes billed8
24AFirst – last monthAug 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#294 of 336
Median peer was paid$123K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2024incomplete | 246 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 42% | 61 | 60 | $3K |
| D0140 | Limited oral evaluation - problem focused | 19% | 57 | 54 | $1K |
| D1206 | Topical application of fluoride varnish | 9.3% | 27 | 27 | $586.30 |
| D0210 | Intraoral - complete series of radiographic images | 9.1% | 13 | 13 | $572.76 |
| D0220 | Intraoral - periapical first radiographic image | 7.3% | 44 | 43 | $463.45 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.2% | 15 | 15 | $391.65 |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 12 | 12 | $337.81 |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 17 | 12 | $130.62 |
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.