Clinic
Witchita 21ST Dental, PA
Witchita 21ST Dental, PA was paid $802K by Medicaid between Aug 2020 and Nov 2024, across 20 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 31% of everything it billed.
33Billing provider infoWITCHITA 21ST DENTAL, PA
WICHITA, KS 67206
WICHITA, KS 67206
33aNPI1639799307assigned 04/22/2020
33bProvider typeDental Clinic/Center
28Total paid$802K
24GClaims24,735
24DCodes billed20
24AFirst – last monthAug 2020 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Kansas
Rank by total paid#8 of 41
Median peer was paid$98K
This provider vs. median8.2×
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.
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 | |
|---|---|---|---|
| 2020 | 969 | $17K | |
| 2021 | 5,590 | $152K | |
| 2022 | 5,986 | $175K | |
| 2023 | 5,687 | $208K | |
| 2024incomplete | 6,503 | $250K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 31% | 2,930 | 605 | $249K |
| D1110 | Prophylaxis - adult | 11% | 2,378 | 2,147 | $90K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.8% | 807 | 399 | $63K |
| D0330 | Panoramic radiographic image | 7.4% | 1,618 | 1,496 | $59K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.7% | 1,896 | 1,735 | $54K |
| D0274 | Bitewings - four radiographic images | 6.3% | 1,909 | 1,755 | $50K |
| D1351 | Sealant - per tooth | 5.3% | 1,626 | 189 | $42K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.6% | 1,830 | 1,703 | $37K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 2,936 | 2,599 | $25K |
| D1206 | Topical application of fluoride varnish | 3.0% | 1,394 | 1,315 | $24K |
| D0140 | Limited oral evaluation - problem focused | 2.7% | 853 | 774 | $22K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.3% | 624 | 588 | $18K |
8 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 3,026 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 179 | $13K |
| D7140 | Extraction, erupted tooth or exposed root | 1.5% | 163 | $12K |
| D0210 | Intraoral - complete series of radiographic images | 1.2% | 196 | $9K |
| D0272 | Bitewings - two radiographic images | <1% | 266 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 63 | $5K |
| D4346 | <1% | 12 | $2K | |
| D4341 | <1% | 29 | $1K |
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 (DDS)
| 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 |
| 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 |
| Willow Dental Bellevue, LLC | Bellevue, NE | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.