Clinic
Samuel U. Rodgers Health Center, INC.
Samuel U. Rodgers Health Center, INC. was paid $117K by Medicaid between Jan 2018 and Feb 2020, across 10 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 32% of everything it billed.
33Billing provider infoSAMUEL U. RODGERS HEALTH CENTER, INC.
LEXINGTON, MO 64067
LEXINGTON, MO 64067
33aNPI1164614053assigned 08/14/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$117K
24GClaims2,353
24DCodes billed10
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Missouri
Rank by total paid#124 of 215
Median peer was paid$208K
This provider vs. median0.6×
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 | 1,037 | $57K | |
| 2019 | 1,124 | $53K | |
| 2020 | 192 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 32% | 332 | 112 | $37K |
| D1110 | Prophylaxis - adult | 23% | 488 | 400 | $27K |
| D0272 | Bitewings - two radiographic images | 14% | 562 | 456 | $16K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 453 | 365 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.1% | 106 | 86 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 120 | 93 | $6K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.3% | 33 | 27 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 175 | 146 | $3K |
| D0330 | Panoramic radiographic image | 1.5% | 31 | 25 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 53 | 31 | $711.16 |
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 officialFUENTES, HILDA (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Samuel U. Rodgers Health Center, INC. | Kansas City, MO | $805K |
| Samuel U. Rodgers Health Center, INC. | Kansas City, MO | $714K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.