Clinic
El Dorado Family Dentistry P.A.
El Dorado Family Dentistry P.A. was paid $2K by Medicaid between Apr 2018 and Jun 2020, across 3 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 49% of everything it billed.
33Billing provider infoEL DORADO FAMILY DENTISTRY P.A.
EL DORADO, KS 67042
EL DORADO, KS 67042
33aNPI1285828608assigned 08/29/2007
33bProvider typeDental Clinic/Center
28Total paid$2K
24GClaims171
24DCodes billed3
24AFirst – last monthApr 2018 – Jun 2020
Compared with peers
Next to other Dental Clinic/Center providers in Kansas
Rank by total paid#36 of 41
Median peer was paid$98K
This provider vs. median0.0×
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 | 25 | $473.00 | |
| 2019 | 61 | $501.08 | |
| 2020 | 85 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 49% | 87 | 78 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 42% | 69 | 51 | $919.80 |
| D1120 | Dental cleaning, childProphylaxis - child | 8.7% | 15 | 12 | $190.80 |
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 officialLATIMER, LOUIS (OWNER)