Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lawrence Pediatric Dentistry LLC

Lawrence Pediatric Dentistry LLC was paid $1.93M by Medicaid between May 2019 and May 2024, across 20 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 18% of everything it billed.

33Billing provider infoLAWRENCE PEDIATRIC DENTISTRY LLC
LAWRENCE, KS 66044
33aNPI1316287139assigned 02/15/2013
33bProvider typePediatric Dentist
28Total paid$1.93M
24GClaims56,956
24DCodes billed20
24AFirst – last monthMay 2019 – May 2024
Compared with peers

Next to other Pediatric Dentist providers in Kansas

Rank by total paid#11 of 41
Median peer was paid$505K
This provider vs. median3.8×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20194,720$140K
20209,233$289K
202119,556$711K
202217,495$605K
20235,299$167K
2024incomplete653$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 18% 2,785 719 $344K
D1120 Dental cleaning, childProphylaxis - child 17% 9,686 9,521 $323K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 10% 8,444 8,321 $202K
D1351 Sealant - per tooth 9.2% 6,828 1,517 $177K
D0272 Bitewings - two radiographic images 8.5% 7,176 7,066 $163K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 5.7% 1,321 860 $110K
D1206 Topical application of fluoride varnish 5.0% 4,975 4,879 $96K
D1208 Topical application of fluoride, excluding varnish 4.8% 4,812 4,741 $93K
D7140 Extraction, erupted tooth or exposed root 4.7% 965 510 $90K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4.5% 1,118 739 $87K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.4% 2,137 1,977 $66K
D0330 Panoramic radiographic image 2.7% 937 921 $52K
8 more codes
D0150 Comprehensive oral evaluation - new or established patient 2.2% 1,373 $43K
D0220 Intraoral - periapical first radiographic image 1.5% 2,194 $29K
D9420 1.0% 251 $20K
D0230 Intraoral - periapical each additional radiographic image <1% 1,315 $14K
D0274 Bitewings - four radiographic images <1% 210 $7K
D0140 Limited oral evaluation - problem focused <1% 209 $6K
D1110 Prophylaxis - adult <1% 111 $5K
D1354 <1% 109 $2K

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 officialCOBB, DAVID (PRESIDENT)
Same official

Other billing entities under COBB, DAVID

Full network →
ProviderLocationPaid
David J Cobb, DDS, PAOlathe, KS$507K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.