Clinic
Cottonwood Dental Kellogg, P.A.
Cottonwood Dental Kellogg, P.A. was paid $292K by Medicaid between Oct 2021 and Nov 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 18% of everything it billed.
33Billing provider infoCOTTONWOOD DENTAL KELLOGG, P.A.
WICHITA, KS 67207
WICHITA, KS 67207
33aNPI1063099943assigned 03/26/2021
33bProvider typeDental Clinic/Center
28Total paid$292K
24GClaims11,673
24DCodes billed13
24AFirst – last monthOct 2021 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Kansas
Rank by total paid#15 of 41
Median peer was paid$98K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2021 | 452 | $11K | |
| 2022 | 2,291 | $55K | |
| 2023 | 4,854 | $121K | |
| 2024incomplete | 4,076 | $105K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 18% | 1,293 | 1,251 | $52K |
| D0274 | Bitewings - four radiographic images | 15% | 1,591 | 1,540 | $45K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 1,402 | 1,328 | $39K |
| D0220 | Intraoral - periapical first radiographic image | 8.5% | 2,284 | 2,124 | $25K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 8.4% | 303 | 114 | $25K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.3% | 285 | 198 | $21K |
| D0330 | Panoramic radiographic image | 7.3% | 510 | 485 | $21K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.8% | 1,927 | 1,739 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.9% | 692 | 673 | $14K |
| D1351 | Sealant - per tooth | 4.5% | 461 | 54 | $13K |
| D1206 | Topical application of fluoride varnish | 3.6% | 594 | 574 | $10K |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 228 | 214 | $6K |
1 more codes
| D1120 | Dental cleaning, child | 1.1% | 103 | $3K |
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 officialYATES, MIKE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Summer Dental Shawnee PLLC | Shawnee, OK | $2.58M |
| Summer Dental Macarthur PLLC | Oklahoma City, OK | $784K |
| Baxter Springs Family Dentistry PA | Baxter Springs, KS | $237K |
| Rio Dental, P.A. | Wichita, KS | $111K |
| Sdpmwc, PLLC | Midwest City, OK | $13K |
| Tulsa Prosth PLLC | Tulsa, OK | $998.56 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.