Dental
Kingsolver, Jason
Kingsolver, Jason was paid $473K by Medicaid between Jan 2018 and Sep 2019, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 15% of everything it billed.
33Billing provider infoKINGSOLVER, JASON
WARRENSBURG, MO 64093
WARRENSBURG, MO 64093
33aNPI1013399351assigned 06/23/2015
33bProvider typeDentist
28Total paid$473K
24GClaims10,902
24DCodes billed22
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Dentist providers in Missouri
Rank by total paid#54 of 284
Median peer was paid$109K
This provider vs. median4.4×
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 | 6,940 | $346K | |
| 2019 | 3,962 | $127K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 15% | 366 | 215 | $70K |
| D1206 | Topical application of fluoride varnish | 13% | 2,072 | 1,997 | $61K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 1,423 | 1,357 | $54K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,692 | 1,625 | $52K |
| D0330 | Panoramic radiographic image | 8.3% | 492 | 485 | $39K |
| D1110 | Prophylaxis - adult | 8.1% | 585 | 575 | $38K |
| D0272 | Bitewings - two radiographic images | 6.3% | 1,058 | 1,004 | $30K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.2% | 205 | 168 | $20K |
| D0274 | Bitewings - four radiographic images | 4.1% | 535 | 530 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 327 | 315 | $15K |
| D1351 | Sealant - per tooth | 3.1% | 393 | 117 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 565 | 391 | $12K |
10 more codes
| D2140 | 2.2% | 143 | $11K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 96 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 488 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 58 | $4K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 169 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 76 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 22 | $2K |
| D0240 | <1% | 85 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 28 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 24 | $710.00 |
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.