Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Nevada › NPI 1558642496
Dental

Casa, Adela

Casa, Adela was paid $147K by Medicaid between Jan 2018 and Dec 2023, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.

33Billing provider infoCASA, ADELA
NEVADA, MO 64772
33aNPI1558642496assigned 09/06/2011
33bProvider typeDentist
28Total paid$147K
24GClaims6,979
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers

Next to other Dentist providers in Missouri

Rank by total paid#122 of 284
Median peer was paid$109K
This provider vs. median1.4×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20186,704$142K
2019177$3K
202025$0.00
202373$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 15% 913 867 $23K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 13% 990 941 $19K
D1206 Topical application of fluoride varnish 12% 1,209 1,159 $18K
D1351 Sealant - per tooth 8.8% 627 121 $13K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 7.3% 159 104 $11K
D0272 Bitewings - two radiographic images 6.2% 532 499 $9K
D2391 Resin-based composite - one surface, posterior, primary or permanent 5.7% 131 99 $8K
D1110 Prophylaxis - adult 4.8% 211 200 $7K
D0274 Bitewings - four radiographic images 4.7% 271 260 $7K
D0230 Intraoral - periapical each additional radiographic image 4.6% 724 270 $7K
D0330 Panoramic radiographic image 4.6% 225 212 $7K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.7% 301 277 $5K
4 more codes
D0150 Comprehensive oral evaluation - new or established patient 3.6% 198 $5K
D0220 Intraoral - periapical first radiographic image 3.0% 423 $4K
D7140 Extraction, erupted tooth or exposed root 1.6% 28 $2K
D0140 Limited oral evaluation - problem focused <1% 37 $909.85

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.