Dental
Tiny Teeth Pediatric Dentistry, LLC
Tiny Teeth Pediatric Dentistry, LLC was paid $9.78M by Medicaid between Feb 2019 and Dec 2024, across 30 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 21% of everything it billed.
33Billing provider infoTINY TEETH PEDIATRIC DENTISTRY, LLC
WICHITA, KS 67205
WICHITA, KS 67205
33aNPI1679041644assigned 11/08/2018
33bProvider typePediatric Dentist
28Total paid$9.78M
24GClaims270,224
24DCodes billed30
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Kansas
Rank by total paid#3 of 41
Median peer was paid$505K
This provider vs. median19×
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 | |
|---|---|---|---|
| 2019 | 15,237 | $540K | |
| 2020 | 27,682 | $960K | |
| 2021 | 45,819 | $1.67M | |
| 2022 | 50,258 | $1.78M | |
| 2023 | 70,205 | $2.59M | |
| 2024incomplete | 61,023 | $2.25M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 21% | 17,317 | 4,549 | $2.03M |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 34,309 | 33,707 | $1.12M |
| D1351 | Sealant - per tooth | 7.6% | 28,315 | 5,559 | $742K |
| D1206 | Topical application of fluoride varnish | 7.6% | 39,725 | 38,561 | $742K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.2% | 9,142 | 5,294 | $708K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.2% | 30,599 | 30,024 | $703K |
| D0272 | Bitewings - two radiographic images | 6.6% | 30,185 | 28,995 | $646K |
| D7140 | Extraction, erupted tooth or exposed root | 6.4% | 7,220 | 3,451 | $629K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.0% | 6,779 | 3,887 | $488K |
| D0240 | 3.0% | 16,426 | 8,907 | $293K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.7% | 8,911 | 8,006 | $268K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.7% | 2,834 | 1,402 | $169K |
18 more codes
| D2330 | 1.7% | 2,367 | $164K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 5,223 | $163K |
| D0140 | Limited oral evaluation - problem focused | 1.6% | 5,271 | $157K |
| D0274 | Bitewings - four radiographic images | 1.4% | 4,274 | $136K |
| D1110 | Prophylaxis - adult | 1.3% | 3,038 | $132K |
| D0330 | Panoramic radiographic image | 1.1% | 2,732 | $106K |
| D9420 | <1% | 840 | $82K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,978 | $64K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 4,638 | $55K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,824 | $53K |
| D2934 | <1% | 341 | $46K | |
| D1354 | <1% | 2,133 | $29K | |
| D2331 | <1% | 337 | $27K | |
| D2390 | <1% | 71 | $9K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 92 | $8K |
| D9310 | <1% | 257 | $7K | |
| D1510 | <1% | 33 | $5K | |
| D7961 | <1% | 13 | $2K |
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 officialHEALY, MATTHEW (MEMBER/MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Matthew R. Healy D.D.S., P.A. | Maize, KS | $2.46M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.