Dental
Salt City Dental, P.A.
Salt City Dental, P.A. was paid $13K by Medicaid between Sep 2024 and Nov 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.
33Billing provider infoSALT CITY DENTAL, P.A.
HUTCHINSON, KS 67502
HUTCHINSON, KS 67502
33aNPI1629811484assigned 06/18/2024
33bProvider typeGeneral Practice Dentistry
28Total paid$13K
24GClaims599
24DCodes billed9
24AFirst – last monthSep 2024 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Kansas
Rank by total paid#127 of 203
Median peer was paid$40K
This provider vs. median0.3×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CARDON, CREED controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2024incomplete | 599 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 19% | 60 | 56 | $3K |
| D1351 | Sealant - per tooth | 16% | 80 | 14 | $2K |
| D0274 | Bitewings - four radiographic images | 14% | 68 | 64 | $2K |
| D0330 | Panoramic radiographic image | 9.7% | 28 | 28 | $1K |
| D1206 | Topical application of fluoride varnish | 9.7% | 72 | 67 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.1% | 57 | 52 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 8.6% | 105 | 94 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.5% | 34 | 34 | $996.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 6.7% | 95 | 86 | $893.10 |
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 officialCARDON, CREED (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Mco Peds PLLC | Jenks, OK | $2.51M |
| Oklahoma City Dental SW, PLLC | Oklahoma City, OK | $1.24M |
| Summer Dental Stillwater, PLLC | Stillwater, OK | $1.22M |
| Sapulpa Kids Dental PLLC | Sapulpa, OK | $1.12M |
| Spring Orthodontics Tulsa | Tulsa, OK | $1.03M |
| Spring Dental Collinsville, PLLC | Collinsville, OK | $1.01M |
| Okc 89TH Dental, PLLC | Oklahoma City, OK | $962K |
| Tulsa Kids Dental PLLC | Tulsa, OK | $857K |
| Witchita 21ST Dental, PA | Wichita, KS | $802K |
| Summer Dental Midwest City, PLLC | Midwest City, OK | $454K |
| Spring Dental Vinita, PLLC | Vinita, OK | $371K |
| River Dental Siloam Springs, PLLC | Siloam Springs, AR | $267K |
| Elite Oral and Maxillofacial Surgery of Oklahoma, PLLC | Tulsa, OK | $194K |
| Cottonwood Dental Maize, PA | Wichita, KS | $186K |
| Redbud Dental Edmond, PLLC | Edmond, OK | $157K |
| Dental Care of Wichita PA | Wichita, KS | $73K |
| River Dental Rogers South, PLLC | Rogers, AR | $66K |
| River Dental Rogers, PLLC | Rogers, AR | $61K |
| Marion Family Smiles, P.A. | Marion, KS | $56K |
| Owasso Pediatric Dentistry, PLLC | Owasso, OK | $45K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.