Dental
The Indian Springs Dental Clinic, LLC
The Indian Springs Dental Clinic, LLC was paid $1.94M by Medicaid between Jan 2018 and Oct 2019, across 23 billing codes. Its largest line is D1351, Sealant - per tooth — 15% of everything it billed.
33Billing provider infoTHE INDIAN SPRINGS DENTAL CLINIC, LLC
KANSAS CITY, KS 66102
KANSAS CITY, KS 66102
33aNPI1144207705assigned 12/26/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$1.94M
24GClaims69,672
24DCodes billed23
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other General Practice Dentistry providers in Kansas
Rank by total paid#13 of 203
Median peer was paid$40K
This provider vs. median48×
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 | 48,713 | $1.30M | |
| 2019 | 20,959 | $637K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 15% | 11,596 | 3,938 | $282K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 8,768 | 8,526 | $263K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 11,066 | 10,774 | $234K |
| D1206 | Topical application of fluoride varnish | 11% | 12,521 | 12,161 | $214K |
| D1110 | Prophylaxis - adult | 7.6% | 3,598 | 3,476 | $147K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.5% | 1,225 | 609 | $145K |
| D0272 | Bitewings - two radiographic images | 7.0% | 6,721 | 6,544 | $136K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.5% | 1,827 | 1,291 | $126K |
| D0274 | Bitewings - four radiographic images | 5.6% | 3,692 | 3,572 | $108K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.7% | 1,225 | 869 | $90K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.0% | 2,951 | 2,652 | $58K |
| D0330 | Panoramic radiographic image | 2.3% | 1,231 | 1,196 | $44K |
11 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 865 | $25K |
| D2140 | 1.2% | 422 | $22K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 229 | $15K |
| D0240 | <1% | 593 | $11K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 276 | $8K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 438 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 30 | $3K |
| D1330 | 0% | 125 | $0.00 | |
| D1310 | 0% | 125 | $0.00 | |
| D1320 | 0% | 22 | $0.00 | |
| D0603 | 0% | 126 | $0.00 |
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 officialSTUMP, JENELL (DIRECTOR, LICENSING & CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Akron Smiles Youth Dentistry LLC Michael Crites, DDS | Akron, OH | $10.24M |
| Small Smiles of Wichita, LLC | Wichita, KS | $576K |
| Community Care of Kentucky INC. | Louisville, KY | $576K |
| Topeka Dental Clinic, LLC | Topeka, KS | $235K |
| Advantage Dental Oral Health Center of Massachusetts, PC | Westborough, MA | $143K |
| Sager Dental PLLC | Texas City, TX | $57K |
| Youngstown Smiles Youth Dentistry Llcmichael Crites DDS | Youngstown, OH | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.