Dental
Hillside Family Dentist, PA
Hillside Family Dentist, PA was paid $107K by Medicaid between Mar 2019 and Dec 2023, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoHILLSIDE FAMILY DENTIST, PA
WICHITA, KS 67211
WICHITA, KS 67211
33aNPI1205208568assigned 10/27/2015
33bProvider typeDentist
28Total paid$107K
24GClaims4,165
24DCodes billed12
24AFirst – last monthMar 2019 – Dec 2023
Compared with peers
Next to other Dentist providers in Kansas
Rank by total paid#42 of 112
Median peer was paid$52K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2019 | 147 | $4K | |
| 2020 | 563 | $13K | |
| 2021 | 774 | $19K | |
| 2022 | 952 | $23K | |
| 2023 | 1,729 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 712 | 660 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 859 | 811 | $17K |
| D0274 | Bitewings - four radiographic images | 11% | 441 | 402 | $12K |
| D1206 | Topical application of fluoride varnish | 11% | 697 | 660 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 410 | 381 | $11K |
| D0330 | Panoramic radiographic image | 6.5% | 187 | 174 | $7K |
| D0140 | Limited oral evaluation - problem focused | 6.1% | 278 | 240 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | 4.4% | 63 | 14 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.7% | 128 | 124 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 320 | 280 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.6% | 42 | 24 | $3K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.7% | 28 | 13 | $2K |
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 officialGUEST, SCOTT (AGENT)
| Provider | Location | Paid |
|---|---|---|
| Rossville Family Dental, PA | Rossville, KS | $141K |
| Discover Dental PA | Shawnee, KS | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.