Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Dental Depot of Blue Springs PLLC

Dental Depot of Blue Springs PLLC was paid $21K by Medicaid between Dec 2020 and Dec 2024, across 12 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 28% of everything it billed.

33Billing provider infoDENTAL DEPOT OF BLUE SPRINGS PLLC
BLUE SPRINGS, MO 64014
33aNPI1164033122assigned 08/13/2020
33bProvider typeDental Clinic/Center
28Total paid$21K
24GClaims1,937
24DCodes billed12
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers

Next to other Dental Clinic/Center providers in Missouri

Rank by total paid#13 of 27
Median peer was paid$9K
This provider vs. median2.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official ZISSA, GAYLON controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2020252$0.00
2021664$4K
202237$340.09
2023233$5K
2024incomplete751$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0274 Bitewings - four radiographic images 28% 264 216 $6K
D0220 Intraoral - periapical first radiographic image 27% 530 415 $6K
D0230 Intraoral - periapical each additional radiographic image 23% 561 296 $5K
D0330 Panoramic radiographic image 6.9% 134 109 $1K
D0150 Comprehensive oral evaluation - new or established patient 5.7% 133 106 $1K
D1110 Prophylaxis - adult 3.3% 41 29 $686.28
D0140 Limited oral evaluation - problem focused 3.2% 31 28 $666.05
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 2.4% 24 18 $511.20
D0350 <1% 19 12 $124.80
D1208 Topical application of fluoride, excluding varnish 0% 46 42 $0.00
D1120 Dental cleaning, childProphylaxis - child 0% 36 35 $0.00
D1999 0% 118 82 $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 officialZISSA, GAYLON (PROFESSIONAL RELATIONS MANAGER)
Same official

Other billing entities under ZISSA, GAYLON

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.