Webster, Grant

Webster, Grant was paid $43K by Medicaid between Jan 2018 and Oct 2018, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.

33Billing provider infoWEBSTER, GRANT
COFFEYVILLE, KS 67337

33aNPI1164943866assigned 07/03/2017

33bProvider typeGeneral Practice Dentistry

28Total paid$43K

24GClaims1,129

24DCodes billed10

24AFirst – last monthJan 2018 – Oct 2018

Compared with peers

Next to other General Practice Dentistry providers in Kansas

Rank by total paid#100 of 203

Median peer was paid$40K

This provider vs. median1.1×

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	1,129	$43K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	33%	202	196	$14K
D1206	Topical application of fluoride varnish	28%	366	355	$12K
D0140	Limited oral evaluation - problem focused	15%	63	63	$6K
D1110	Prophylaxis - adult	10%	56	56	$4K
D0150	Comprehensive oral evaluation - new or established patient	9.2%	68	65	$4K
D1351	Sealant - per tooth	3.3%	198	58	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	55	55	$379.50
D1330		0%	39	38	$0.00
D0191		0%	42	41	$0.00
D0220	Intraoral - periapical first radiographic image	0%	40	36	$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.