Clinic
4K Dentistry PLLC
4K Dentistry PLLC was paid $10K by Medicaid between Dec 2020 and May 2024, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 45% of everything it billed.
33Billing provider info4K DENTISTRY PLLC
KATY, TX 77450
KATY, TX 77450
33aNPI1245772995assigned 11/11/2016
33bProvider typeDental Clinic/Center
28Total paid$10K
24GClaims1,050
24DCodes billed8
24AFirst – last monthDec 2020 – May 2024
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#198 of 255
Median peer was paid$110K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 32 | $205.80 | |
| 2021 | 275 | $1K | |
| 2022 | 475 | $5K | |
| 2023 | 195 | $2K | |
| 2024incomplete | 73 | $696.97 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 45% | 169 | 161 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 36% | 283 | 264 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.8% | 24 | 24 | $878.33 |
| D1110 | Prophylaxis - adult | 6.9% | 14 | 14 | $689.31 |
| D0274 | Bitewings - four radiographic images | 3.2% | 12 | 12 | $316.28 |
| D1330 | <1% | 283 | 265 | $37.25 | |
| D0602 | <1% | 136 | 130 | $9.06 | |
| D0601 | 0% | 129 | 116 | $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.
From NPPES
Who's on the registration
Authorized officialKOFOWOROLA-KUTI, ANTHONY (CLINICAL DIRECTOR)