Dental
Little Apple Pediatric Dentist
Little Apple Pediatric Dentist was paid $192K by Medicaid between Jan 2018 and Mar 2020, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoLITTLE APPLE PEDIATRIC DENTIST
MANHATTAN, KS 66502
MANHATTAN, KS 66502
33aNPI1063571602assigned 12/08/2006
33bProvider typePediatric Dentist
28Total paid$192K
24GClaims7,977
24DCodes billed12
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Pediatric Dentist providers in Kansas
Rank by total paid#26 of 41
Median peer was paid$505K
This provider vs. median0.4×
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 | 3,960 | $101K | |
| 2019 | 3,731 | $89K | |
| 2020 | 286 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 1,377 | 1,364 | $39K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 1,534 | 1,517 | $31K |
| D0272 | Bitewings - two radiographic images | 13% | 1,313 | 1,301 | $25K |
| D1206 | Topical application of fluoride varnish | 11% | 1,309 | 1,297 | $21K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 181 | 101 | $20K |
| D1351 | Sealant - per tooth | 9.7% | 817 | 325 | $19K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.1% | 794 | 662 | $16K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.4% | 148 | 112 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 2.7% | 320 | 319 | $5K |
| D1110 | Prophylaxis - adult | 2.1% | 100 | 100 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 40 | 40 | $1K |
| D0240 | <1% | 44 | 26 | $774.00 |
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 officialWAGNER, CAROL (OFFICE MANAGER)