Dental
Fountainview Dental Harrisonville PLLC
Fountainview Dental Harrisonville PLLC was paid $27K by Medicaid between Jan 2024 and Nov 2024, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 47% of everything it billed.
33Billing provider infoFOUNTAINVIEW DENTAL HARRISONVILLE PLLC
HARRISONVILLE, MO 64701
HARRISONVILLE, MO 64701
33aNPI1669149159assigned 08/24/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$27K
24GClaims695
24DCodes billed9
24AFirst – last monthJan 2024 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Missouri
Rank by total paid#177 of 260
Median peer was paid$78K
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.
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 | 695 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 47% | 109 | 109 | $13K |
| D1206 | Topical application of fluoride varnish | 39% | 206 | 204 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.3% | 119 | 117 | $2K |
| D0272 | Bitewings - two radiographic images | 2.1% | 48 | 48 | $554.64 |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 44 | 38 | $366.12 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 13 | 13 | $334.26 |
| D1351 | Sealant - per tooth | <1% | 86 | 18 | $241.76 |
| D0191 | 0% | 20 | 20 | $0.00 | |
| D0603 | 0% | 50 | 50 | $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.
From NPPES
Who's on the registration
Authorized officialDEMMY, ANNE (CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Muskogee Pediatric Dental PLLC | Muskogee, OK | $1.82M |
| River Dental Farmington, PLLC | Farmington, AR | $37K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.