Dental
Kumar, Sonia
Kumar, Sonia was paid $19K by Medicaid between Feb 2019 and Mar 2020, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 20% of everything it billed.
33Billing provider infoKUMAR, SONIA
TROY, MO 63379
TROY, MO 63379
33aNPI1619959434assigned 11/17/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$19K
24GClaims1,266
24DCodes billed10
24AFirst – last monthFeb 2019 – Mar 2020
Compared with peers
Next to other General Practice Dentistry providers in Missouri
Rank by total paid#189 of 260
Median peer was paid$78K
This provider vs. median0.2×
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 | 954 | $14K | |
| 2020 | 312 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 189 | 188 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 204 | 202 | $3K |
| D1351 | Sealant - per tooth | 15% | 172 | 58 | $3K |
| D1206 | Topical application of fluoride varnish | 15% | 257 | 255 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.1% | 52 | 51 | $2K |
| D0274 | Bitewings - four radiographic images | 8.0% | 84 | 84 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.0% | 138 | 82 | $1K |
| D0272 | Bitewings - two radiographic images | 4.8% | 70 | 69 | $908.00 |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 83 | 82 | $648.00 |
| D1110 | Prophylaxis - adult | 2.2% | 17 | 17 | $423.00 |
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.