Dental
Heatrice, Ackeilia
Heatrice, Ackeilia was paid $135K by Medicaid between Aug 2019 and Jul 2020, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoHEATRICE, ACKEILIA
ELLISVILLE, MO 63021
ELLISVILLE, MO 63021
33aNPI1609003060assigned 06/12/2009
33bProvider typePediatric Dentist
28Total paid$135K
24GClaims5,358
24DCodes billed21
24AFirst – last monthAug 2019 – Jul 2020
Compared with peers
Next to other Pediatric Dentist providers in Missouri
Rank by total paid#17 of 39
Median peer was paid$73K
This provider vs. median1.8×
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 | 2,506 | $67K | |
| 2020 | 2,852 | $68K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 579 | 579 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 715 | 715 | $22K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 292 | 162 | $19K |
| D1351 | Sealant - per tooth | 7.7% | 280 | 114 | $10K |
| D1110 | Prophylaxis - adult | 7.2% | 181 | 181 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 5.0% | 511 | 511 | $7K |
| D0272 | Bitewings - two radiographic images | 4.8% | 430 | 430 | $7K |
| D1353 | 4.6% | 333 | 115 | $6K | |
| D0274 | Bitewings - four radiographic images | 4.2% | 215 | 215 | $6K |
| D1206 | Topical application of fluoride varnish | 3.9% | 203 | 203 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 363 | 357 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 3.4% | 82 | 53 | $5K |
9 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.9% | 34 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.5% | 68 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 15 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 25 | $677.75 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 32 | $307.85 |
| D0603 | <1% | 356 | $21.25 | |
| D1330 | <1% | 514 | $13.00 | |
| D0602 | 0% | 40 | $0.00 | |
| D0601 | 0% | 90 | $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.