NP / PA
Vick, Latasha
Vick, Latasha was paid $17K by Medicaid between Jan 2018 and Jan 2019, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 44% of everything it billed.
33Billing provider infoVICK, LATASHA
BAXTER SPRINGS, KS 66713
BAXTER SPRINGS, KS 66713
33aNPI1669456364assigned 12/06/2005
33bProvider typePhysician Assistant
28Total paid$17K
24GClaims505
24DCodes billed7
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers
Next to other Physician Assistant providers in Kansas
Rank by total paid#11 of 28
Median peer was paid$11K
This provider vs. median1.6×
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 | 455 | $17K | |
| 2019 | 50 | $523.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 44% | 80 | 80 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 37% | 71 | 71 | $6K |
| D1351 | Sealant - per tooth | 8.1% | 135 | 26 | $1K |
| D1206 | Topical application of fluoride varnish | 7.0% | 142 | 142 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 43 | 41 | $360.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.3% | 12 | 12 | $225.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 22 | 13 | $168.00 |
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.