Dental
Boothe, Andrea
Boothe, Andrea was paid $124K by Medicaid between Jan 2018 and Nov 2018, across 10 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 45% of everything it billed.
33Billing provider infoBOOTHE, ANDREA
WICHITA, KS 67214
WICHITA, KS 67214
33aNPI1649583089assigned 07/14/2010
33bProvider typeDentist
28Total paid$124K
24GClaims2,497
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other Dentist providers in Kansas
Rank by total paid#40 of 112
Median peer was paid$52K
This provider vs. median2.4×
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
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 | |
|---|---|---|---|
| 2018 | 2,497 | $124K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 45% | 670 | 656 | $56K |
| D0330 | Panoramic radiographic image | 20% | 187 | 180 | $25K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 177 | 171 | $19K |
| D1110 | Prophylaxis - adult | 11% | 124 | 120 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 158 | 150 | $5K |
| D0274 | Bitewings - four radiographic images | 1.6% | 153 | 150 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 254 | 246 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.1% | 31 | 31 | $1K |
| D1351 | Sealant - per tooth | <1% | 93 | 19 | $476.13 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 650 | 203 | $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.