Cass County Dental Clinic, LLC

Cass County Dental Clinic, LLC was paid $894.95 by Medicaid between Oct 2018 and Nov 2019, across 2 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 67% of everything it billed.

33Billing provider infoCASS COUNTY DENTAL CLINIC, LLC
BELTON, MO 64012

33aNPI1134422280assigned 12/13/2010

33bProvider typePublic Health Dentist

28Total paid$894.95

24GClaims58

24DCodes billed2

24AFirst – last monthOct 2018 – Nov 2019

Compared with peers

Next to other Public Health Dentist providers in Missouri

Rank by total paid#17 of 17

Median peer was paid$155K

This provider vs. median0.0×

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
2018	13	$165.12
2019	45	$729.83

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	67%	46	43	$598.19
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	12	12	$296.76

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 officialRANDAZZO, CYNTHIA (PRESIDENT/CEO)

Parent organizationRESEARCH BELTON FOUNDATION SOLE M