Dental
Kidspace Pediatric Dentistry Partnership
Kidspace Pediatric Dentistry Partnership was paid $2.07M by Medicaid between Feb 2023 and Dec 2024, across 25 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 14% of everything it billed.
33Billing provider infoKIDSPACE PEDIATRIC DENTISTRY PARTNERSHIP
WICHITA, KS 67208
WICHITA, KS 67208
33aNPI1407561590assigned 01/23/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$2.07M
24GClaims55,577
24DCodes billed25
24AFirst – last monthFeb 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Kansas
Rank by total paid#11 of 203
Median peer was paid$40K
This provider vs. median52×
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 | |
|---|---|---|---|
| 2023 | 26,049 | $973K | |
| 2024incomplete | 29,528 | $1.10M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 2,373 | 681 | $283K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 3,143 | 1,475 | $249K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.8% | 6,546 | 6,344 | $203K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 7.6% | 2,569 | 656 | $157K |
| D1351 | Sealant - per tooth | 6.7% | 5,175 | 1,156 | $138K |
| D1206 | Topical application of fluoride varnish | 6.6% | 7,505 | 7,266 | $138K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.0% | 5,406 | 5,290 | $125K |
| D7140 | Extraction, erupted tooth or exposed root | 5.8% | 1,394 | 645 | $120K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.8% | 1,637 | 873 | $120K |
| D9420 | 4.8% | 1,028 | 994 | $99K | |
| D0272 | Bitewings - two radiographic images | 4.1% | 3,859 | 3,764 | $84K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.8% | 1,636 | 1,553 | $58K |
13 more codes
| D0240 | 2.3% | 3,198 | $48K | |
| D1110 | Prophylaxis - adult | 2.1% | 972 | $43K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 1,251 | $40K |
| D0330 | Panoramic radiographic image | 1.9% | 1,152 | $39K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 3,284 | $37K |
| D0274 | Bitewings - four radiographic images | 1.8% | 1,159 | $37K |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 1,587 | $21K |
| D0140 | Limited oral evaluation - problem focused | <1% | 436 | $13K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 147 | $12K |
| D2929 | <1% | 39 | $5K | |
| D2331 | <1% | 19 | $1K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 42 | $1K |
| D2330 | <1% | 20 | $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.
From NPPES
Who's on the registration
Authorized officialLE, JULIE (PRACTICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Kidspace Pediatric Dentistry,p.A | Wichita, KS | $4.34M |
| Iglass Studio, LLC | Milford, NH | $24K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.