Dental
Rossville Family Dental, PA
Rossville Family Dental, PA was paid $141K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 21% of everything it billed.
33Billing provider infoROSSVILLE FAMILY DENTAL, PA
ROSSVILLE, KS 66533
ROSSVILLE, KS 66533
33aNPI1356794549assigned 07/22/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$141K
24GClaims6,349
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Kansas
Rank by total paid#62 of 203
Median peer was paid$40K
This provider vs. median3.5×
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 | 547 | $11K | |
| 2019 | 397 | $8K | |
| 2020 | 762 | $18K | |
| 2021 | 1,256 | $29K | |
| 2022 | 1,599 | $36K | |
| 2023 | 1,114 | $26K | |
| 2024incomplete | 674 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 1,452 | 1,395 | $29K |
| D1110 | Prophylaxis - adult | 18% | 644 | 614 | $25K |
| D1206 | Topical application of fluoride varnish | 16% | 1,347 | 1,305 | $23K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 610 | 595 | $19K |
| D1351 | Sealant - per tooth | 12% | 727 | 139 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 5.6% | 652 | 611 | $8K |
| D0274 | Bitewings - four radiographic images | 5.4% | 255 | 241 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.5% | 475 | 449 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.8% | 39 | 13 | $2K |
| D0330 | Panoramic radiographic image | 1.6% | 44 | 43 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 61 | 60 | $2K |
| D0277 | <1% | 43 | 39 | $750.00 |
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 officialGUEST, SCOTT (COO)
| Provider | Location | Paid |
|---|---|---|
| Hillside Family Dentist, PA | Wichita, KS | $107K |
| Discover Dental PA | Shawnee, KS | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.