Dental
Covenant Family Dental Care
Covenant Family Dental Care was paid $407K by Medicaid between Jan 2018 and Jan 2020, across 17 billing codes. Its largest line is D1351, Sealant - per tooth — 14% of everything it billed.
33Billing provider infoCOVENANT FAMILY DENTAL CARE
SALINA, KS 67401
SALINA, KS 67401
33aNPI1053758284assigned 05/29/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$407K
24GClaims12,535
24DCodes billed17
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other General Practice Dentistry providers in Kansas
Rank by total paid#29 of 203
Median peer was paid$40K
This provider vs. median10×
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 | 8,327 | $285K | |
| 2019 | 4,132 | $120K | |
| 2020 | 76 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 14% | 2,396 | 316 | $55K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 14% | 430 | 146 | $55K |
| D1110 | Prophylaxis - adult | 13% | 1,290 | 1,268 | $51K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 594 | 248 | $42K |
| D0210 | Intraoral - complete series of radiographic images | 10% | 726 | 712 | $41K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.7% | 1,716 | 1,684 | $35K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.5% | 1,055 | 1,032 | $31K |
| D0274 | Bitewings - four radiographic images | 6.6% | 952 | 930 | $27K |
| D1208 | Topical application of fluoride, excluding varnish | 5.9% | 1,428 | 1,397 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 752 | 734 | $21K |
| D0272 | Bitewings - two radiographic images | 3.2% | 650 | 638 | $13K |
| D0240 | 1.2% | 285 | 283 | $5K |
5 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 55 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 22 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 65 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 77 | $912.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 42 | $840.00 |
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.
From NPPES
Who's on the registration
Authorized officialBROWN-GHOSTON, VERMELLE (OWNER)