Dental
Ko, Diane
Ko, Diane was paid $134K by Medicaid between Jan 2018 and May 2019, across 13 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 13% of everything it billed.
33Billing provider infoKO, DIANE
PERRYVILLE, MO 63775
PERRYVILLE, MO 63775
33aNPI1205245685assigned 08/11/2014
33bProvider typeDentist
28Total paid$134K
24GClaims3,493
24DCodes billed13
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other Dentist providers in Missouri
Rank by total paid#130 of 284
Median peer was paid$109K
This provider vs. median1.2×
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 | 2,674 | $102K | |
| 2019 | 819 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 13% | 621 | 611 | $17K |
| D1110 | Prophylaxis - adult | 13% | 290 | 286 | $17K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 430 | 427 | $16K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 374 | 368 | $14K |
| D0330 | Panoramic radiographic image | 9.9% | 165 | 165 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.3% | 231 | 229 | $13K |
| D0272 | Bitewings - two radiographic images | 6.9% | 337 | 331 | $9K |
| D0274 | Bitewings - four radiographic images | 6.2% | 173 | 173 | $8K |
| D0140 | Limited oral evaluation - problem focused | 4.5% | 126 | 124 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 4.4% | 300 | 297 | $6K |
| D1351 | Sealant - per tooth | 3.7% | 194 | 55 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.4% | 198 | 178 | $5K |
1 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.2% | 54 | $4K |
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.