Arthur S Jimenez DDS PA

Arthur S Jimenez DDS PA was paid $3K by Medicaid between Jan 2018 and Mar 2019, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 48% of everything it billed.

33Billing provider infoARTHUR S JIMENEZ DDS PA
WICHITA, KS 67208

33aNPI1053759720assigned 06/04/2013

33bProvider typeDentist

28Total paid$3K

24GClaims142

24DCodes billed5

24AFirst – last monthJan 2018 – Mar 2019

Compared with peers

Next to other Dentist providers in Kansas

Rank by total paid#93 of 112

Median peer was paid$52K

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
2018	88	$2K
2019	54	$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	48%	75	74	$1K
D1208	Topical application of fluoride, excluding varnish	15%	27	27	$459.00
D1110	Prophylaxis - adult	14%	14	14	$410.00
D0150	Comprehensive oral evaluation - new or established patient	12%	12	12	$348.00
D1120	Dental cleaning, childProphylaxis - child	11%	14	14	$330.00

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 officialJIMENEZ, ARTHUR (DENTIST)