Dental
Scott, Gwendolyn
Scott, Gwendolyn was paid $128K by Medicaid between Aug 2019 and Jul 2020, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoSCOTT, GWENDOLYN
FESTUS, MO 63028
FESTUS, MO 63028
33aNPI1053971697assigned 06/17/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$128K
24GClaims4,659
24DCodes billed18
24AFirst – last monthAug 2019 – Jul 2020
Compared with peers
Next to other General Practice Dentistry providers in Missouri
Rank by total paid#104 of 260
Median peer was paid$78K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2019 | 1,904 | $54K | |
| 2020 | 2,755 | $74K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 333 | 241 | $24K |
| D0230 | Intraoral - periapical each additional radiographic image | 15% | 765 | 664 | $20K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13% | 296 | 206 | $16K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 533 | 533 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.0% | 484 | 484 | $10K |
| D1206 | Topical application of fluoride varnish | 6.7% | 644 | 644 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | 5.3% | 132 | 90 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 5.0% | 709 | 706 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.6% | 253 | 237 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 123 | 123 | $5K |
| D1110 | Prophylaxis - adult | 2.9% | 130 | 130 | $4K |
| D1351 | Sealant - per tooth | 1.7% | 106 | 38 | $2K |
6 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.4% | 20 | $2K |
| D0350 | 1.1% | 49 | $1K | |
| D0330 | Panoramic radiographic image | 1.1% | 39 | $1K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.1% | 15 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 14 | $336.00 |
| D9996 | <1% | 14 | $210.00 |
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.