Fales, John

Fales, John was paid $274K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.

33Billing provider infoFALES, JOHN
OLATHE, KS 66062

33aNPI1477531903assigned 01/05/2006

33bProvider typePediatric Dentist

28Total paid$274K

24GClaims10,420

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatric Dentist providers in Kansas

Rank by total paid#24 of 41

Median peer was paid$505K

This provider vs. median0.5×

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	947	$21K
2019	1,206	$28K
2020	1,116	$27K
2021	2,029	$54K
2022	2,067	$58K
2023	1,743	$47K
2024incomplete	1,312	$38K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	23%	2,023	1,980	$63K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	22%	2,760	2,691	$61K
D1206	Topical application of fluoride varnish	17%	2,550	2,479	$45K
D1110	Prophylaxis - adult	16%	1,087	1,043	$43K
D0272	Bitewings - two radiographic images	11%	1,429	1,399	$31K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.6%	181	79	$13K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	4.2%	157	66	$12K
D0274	Bitewings - four radiographic images	1.1%	94	90	$3K
D0330	Panoramic radiographic image	<1%	38	38	$2K
D0150	Comprehensive oral evaluation - new or established patient	<1%	54	53	$2K
D0220	Intraoral - periapical first radiographic image	<1%	47	43	$525.60

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.