Dental
Blackwood, Eric
Blackwood, Eric was paid $47K by Medicaid between Jan 2019 and Sep 2020, across 10 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 39% of everything it billed.
33Billing provider infoBLACKWOOD, ERIC
QUINTER, KS 67752
QUINTER, KS 67752
33aNPI1487645487assigned 10/31/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$47K
24GClaims1,526
24DCodes billed10
24AFirst – last monthJan 2019 – Sep 2020
Compared with peers
Next to other General Practice Dentistry providers in Kansas
Rank by total paid#97 of 203
Median peer was paid$40K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2019 | 714 | $20K | |
| 2020 | 812 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 39% | 334 | 66 | $18K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 200 | 195 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 308 | 290 | $6K |
| D0272 | Bitewings - two radiographic images | 8.2% | 198 | 192 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.9% | 51 | 12 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 6.3% | 179 | 174 | $3K |
| D1206 | Topical application of fluoride varnish | 4.0% | 107 | 107 | $2K |
| D1110 | Prophylaxis - adult | 3.9% | 45 | 45 | $2K |
| D0274 | Bitewings - four radiographic images | 2.8% | 47 | 45 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.7% | 57 | 52 | $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.