ACCESS DENTAL SERVICES LP
NPI: 1215241005
· ROLLA, MO 65401
· General Practice Dentistry
· NPI assigned 08/04/2010
$195K
Total Medicaid Paid
Provider Details
| Authorized Official | HICKS, KARI (MANAGING DIRECTOR) |
| NPI Enumeration Date | 08/04/2010 |
Related Entities
Other providers sharing the same authorized official: HICKS, KARI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,733 |
$42K |
| 2019 |
1,947 |
$43K |
| 2020 |
1,443 |
$22K |
| 2021 |
1,202 |
$38K |
| 2022 |
246 |
$7K |
| 2023 |
696 |
$29K |
| 2024 |
475 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
960 |
870 |
$39K |
| D7140 |
Extraction, erupted tooth or exposed root |
708 |
139 |
$31K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
431 |
66 |
$31K |
| D0220 |
Intraoral - periapical first radiographic image |
1,621 |
1,435 |
$19K |
| D0274 |
Bitewings - four radiographic images |
715 |
652 |
$18K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,746 |
739 |
$16K |
| D0140 |
Limited oral evaluation - problem focused |
710 |
646 |
$16K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
346 |
315 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
283 |
272 |
$7K |
| D1110 |
Prophylaxis - adult |
181 |
174 |
$5K |
| D0350 |
|
25 |
24 |
$190.88 |
| D1999 |
|
16 |
13 |
$0.00 |