Dental
Kidspace Pediatric Dentistry,p.A
Kidspace Pediatric Dentistry,p.A was paid $4.34M by Medicaid between Jan 2018 and Jun 2023, across 26 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 20% of everything it billed.
33Billing provider infoKIDSPACE PEDIATRIC DENTISTRY,P.A
WICHITA, KS 67208
WICHITA, KS 67208
33aNPI1245370345assigned 02/07/2007
33bProvider typePediatric Dentist
28Total paid$4.34M
24GClaims113,884
24DCodes billed26
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Pediatric Dentist providers in Kansas
Rank by total paid#5 of 41
Median peer was paid$505K
This provider vs. median8.6×
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 | 14,969 | $663K | |
| 2019 | 17,935 | $627K | |
| 2020 | 20,666 | $695K | |
| 2021 | 28,419 | $1.14M | |
| 2022 | 27,443 | $1.06M | |
| 2023 | 4,452 | $159K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 20% | 7,436 | 1,850 | $859K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 15,410 | 15,041 | $445K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.7% | 5,656 | 2,648 | $422K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 9.4% | 6,959 | 1,719 | $407K |
| D1206 | Topical application of fluoride varnish | 7.2% | 17,604 | 17,163 | $312K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.3% | 12,233 | 12,021 | $272K |
| D7140 | Extraction, erupted tooth or exposed root | 5.8% | 2,842 | 1,204 | $250K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.6% | 2,794 | 1,534 | $199K |
| D1351 | Sealant - per tooth | 4.2% | 7,232 | 1,719 | $184K |
| D9420 | 4.1% | 2,389 | 2,299 | $180K | |
| D0272 | Bitewings - two radiographic images | 4.1% | 8,426 | 8,254 | $176K |
| D0240 | 2.3% | 6,275 | 3,398 | $98K |
14 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.1% | 3,283 | $93K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 2,930 | $89K |
| D0330 | Panoramic radiographic image | 1.5% | 1,679 | $63K |
| D1110 | Prophylaxis - adult | 1.4% | 1,395 | $61K |
| D2390 | 1.0% | 309 | $45K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.0% | 4,035 | $45K |
| D0274 | Bitewings - four radiographic images | <1% | 1,327 | $41K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,516 | $33K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 233 | $19K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 305 | $17K |
| D0140 | Limited oral evaluation - problem focused | <1% | 494 | $15K |
| D1510 | <1% | 82 | $12K | |
| D2331 | <1% | 22 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 18 | $553.32 |
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 officialLE, JULIE (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Kidspace Pediatric Dentistry Partnership | Wichita, KS | $2.07M |
| Iglass Studio, LLC | Milford, NH | $24K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.