Logan, Quaneedria

Logan, Quaneedria was paid $1.89M by Medicaid between Aug 2018 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.

33Billing provider infoLOGAN, QUANEEDRIA
SAINT LOUIS, MO 63112

33aNPI1407005275assigned 09/16/2008

33bProvider typeDentist

28Total paid$1.89M

24GClaims72,655

24DCodes billed19

24AFirst – last monthAug 2018 – Dec 2024

Compared with peers

Next to other Dentist providers in Missouri

Rank by total paid#3 of 284

Median peer was paid$109K

This provider vs. median17×

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	2,575	$61K
2019	14,894	$359K
2020	9,536	$210K
2021	12,002	$298K
2022	12,398	$355K
2023	10,119	$279K
2024incomplete	11,131	$323K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	27%	12,220	11,740	$503K
D1351	Sealant - per tooth	22%	5,146	3,245	$406K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	17%	11,734	11,250	$330K
D1208	Topical application of fluoride, excluding varnish	17%	12,068	11,606	$315K
D0230	Intraoral - periapical each additional radiographic image	3.8%	11,504	10,772	$72K
D0220	Intraoral - periapical first radiographic image	3.8%	11,774	11,214	$71K
D0274	Bitewings - four radiographic images	3.7%	3,907	3,729	$71K
D0150	Comprehensive oral evaluation - new or established patient	1.0%	853	814	$19K
D0272	Bitewings - two radiographic images	<1%	1,487	1,404	$15K
D4341		<1%	88	38	$14K
D1110	Prophylaxis - adult	<1%	315	294	$12K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	293	222	$12K

7 more codes

D0210	Intraoral - complete series of radiographic images	<1%	399	$11K
D2150	Silver amalgam - two surfaces, primary or permanent	<1%	131	$9K
D7140	Extraction, erupted tooth or exposed root	<1%	195	$9K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	88	$6K
D0330	Panoramic radiographic image	<1%	195	$5K
D0140	Limited oral evaluation - problem focused	<1%	232	$4K
D2140		<1%	26	$1K

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.