Clinic
Blackwood Family Dentistry
Blackwood Family Dentistry was paid $1.36M by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 29% of everything it billed.
33Billing provider infoBLACKWOOD FAMILY DENTISTRY
QUINTER, KS 67752
QUINTER, KS 67752
33aNPI1497839013assigned 10/24/2006
33bProvider typeDental Clinic/Center
28Total paid$1.36M
24GClaims30,517
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Kansas
Rank by total paid#1 of 41
Median peer was paid$98K
This provider vs. median14×
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 | 3,486 | $127K | |
| 2019 | 531 | $12K | |
| 2020 | 2,944 | $134K | |
| 2021 | 6,095 | $290K | |
| 2022 | 7,232 | $355K | |
| 2023 | 6,052 | $263K | |
| 2024incomplete | 4,177 | $180K |
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 | 29% | 5,061 | 1,381 | $401K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 26% | 4,585 | 1,316 | $349K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.1% | 2,632 | 2,570 | $83K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.4% | 3,355 | 3,263 | $74K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.7% | 743 | 314 | $64K |
| D1110 | Prophylaxis - adult | 4.3% | 1,380 | 1,313 | $59K |
| D1206 | Topical application of fluoride varnish | 3.9% | 2,804 | 2,731 | $52K |
| D0272 | Bitewings - two radiographic images | 3.7% | 2,396 | 2,341 | $51K |
| D7140 | Extraction, erupted tooth or exposed root | 3.2% | 490 | 206 | $43K |
| D0274 | Bitewings - four radiographic images | 2.9% | 1,312 | 1,241 | $40K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 1,267 | 1,153 | $39K |
| D0330 | Panoramic radiographic image | 2.1% | 655 | 638 | $29K |
7 more codes
| D0140 | Limited oral evaluation - problem focused | 1.7% | 799 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 1,228 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 421 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 687 | $12K |
| D2394 | <1% | 65 | $7K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 576 | $6K |
| D9986 | 0% | 61 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialBLACKWOOD, ERIC (DENTIST)