Clinic
Sabetha Dental LLC
Sabetha Dental LLC was paid $768.26 by Medicaid between Nov 2021 and Oct 2024, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 44% of everything it billed.
33Billing provider infoSABETHA DENTAL LLC
SABETHA, KS 66534
SABETHA, KS 66534
33aNPI1457920548assigned 06/22/2021
33bProvider typeDental Clinic/Center
28Total paid$768.26
24GClaims56
24DCodes billed3
24AFirst – last monthNov 2021 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in Kansas
Rank by total paid#37 of 41
Median peer was paid$98K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 25 | $173.30 | |
| 2024incomplete | 31 | $594.96 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 44% | 16 | 14 | $339.64 |
| D1206 | Topical application of fluoride varnish | 33% | 15 | 13 | $255.32 |
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 25 | 12 | $173.30 |
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 officialTEDMAN, ELIZABETH (DENTIST-OWNER)