Dental
Grover, Norman
Grover, Norman was paid $208K by Medicaid between Jan 2018 and Jun 2020, across 17 billing codes. Its largest line is D0120, dental checkup, returning patient — 17% of everything it billed.
33Billing provider infoGROVER, NORMAN
SAINT JAMES, MO 65559
SAINT JAMES, MO 65559
33aNPI1417995952assigned 06/04/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$208K
24GClaims8,209
24DCodes billed17
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other General Practice Dentistry providers in Missouri
Rank by total paid#88 of 260
Median peer was paid$78K
This provider vs. median2.7×
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 | 4,010 | $107K | |
| 2019 | 3,517 | $77K | |
| 2020 | 682 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 1,269 | 1,249 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 513 | 233 | $34K |
| D1351 | Sealant - per tooth | 11% | 1,154 | 297 | $23K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 976 | 960 | $22K |
| D1110 | Prophylaxis - adult | 8.2% | 527 | 521 | $17K |
| D0272 | Bitewings - two radiographic images | 8.1% | 1,037 | 1,023 | $17K |
| D1208 | Topical application of fluoride, excluding varnish | 7.2% | 1,180 | 1,159 | $15K |
| D0330 | Panoramic radiographic image | 5.2% | 305 | 303 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 237 | 231 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.0% | 122 | 66 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 133 | 56 | $5K |
| D0140 | Limited oral evaluation - problem focused | 1.6% | 117 | 109 | $3K |
5 more codes
| D0210 | Intraoral - complete series of radiographic images | 1.5% | 99 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 124 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 270 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 134 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 12 | $128.00 |
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.