Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DENTAL CARE OF WICHITA PA

NPI: 1003570110 · WICHITA, KS 67208 · Dentist · NPI assigned 10/25/2021

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CARDON, CREED controls 20+ related entities in our dataset. Read more

$73K
Total Medicaid Paid
2,195
Total Claims
1,920
Beneficiaries
11
Codes Billed
2022-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARDON, CREED (OWNER)
NPI Enumeration Date10/25/2021

Related Entities

Other providers sharing the same authorized official: CARDON, CREED

ProviderCityStateTotal Paid
MCO PEDS PLLC JENKS OK $2.51M
OKLAHOMA CITY DENTAL SW, PLLC OKLAHOMA CITY OK $1.24M
SUMMER DENTAL STILLWATER, PLLC STILLWATER OK $1.22M
SAPULPA KIDS DENTAL PLLC SAPULPA OK $1.12M
SPRING ORTHODONTICS TULSA TULSA OK $1.03M
SPRING DENTAL COLLINSVILLE, PLLC COLLINSVILLE OK $1.01M
OKC 89TH DENTAL, PLLC OKLAHOMA CITY OK $962K
TULSA KIDS DENTAL PLLC TULSA OK $857K
WITCHITA 21ST DENTAL, PA WICHITA KS $802K
SUMMER DENTAL MIDWEST CITY, PLLC MIDWEST CITY OK $454K
SPRING DENTAL VINITA, PLLC VINITA OK $371K
RIVER DENTAL SILOAM SPRINGS, PLLC SILOAM SPRINGS AR $267K
ELITE ORAL AND MAXILLOFACIAL SURGERY OF OKLAHOMA, PLLC TULSA OK $194K
COTTONWOOD DENTAL MAIZE, PA WICHITA KS $186K
REDBUD DENTAL EDMOND, PLLC EDMOND OK $157K
RIVER DENTAL ROGERS SOUTH, PLLC ROGERS AR $66K
RIVER DENTAL ROGERS, PLLC ROGERS AR $61K
MARION FAMILY SMILES, P.A. MARION KS $56K
OWASSO PEDIATRIC DENTISTRY, PLLC OWASSO OK $45K
WILLOW DENTAL BELLEVUE, LLC BELLEVUE NE $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 102 $2K
2023 541 $21K
2024 1,552 $50K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 270 175 $21K
D0150 Comprehensive oral evaluation - new or established patient 566 505 $15K
D1110 Prophylaxis - adult 316 300 $13K
D0210 Intraoral - complete series of radiographic images 153 137 $8K
D0274 Bitewings - four radiographic images 133 129 $4K
D0220 Intraoral - periapical first radiographic image 303 271 $3K
D0120 Periodic oral evaluation - established patient 144 139 $3K
D1206 Topical application of fluoride varnish 114 110 $2K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 21 14 $2K
D0230 Intraoral - periapical each additional radiographic image 150 127 $1K
D7140 Extraction, erupted tooth or exposed root 25 13 $1K