Dental
Kansas Dental Team LLC
Kansas Dental Team LLC was paid $1.74M by Medicaid between Dec 2018 and Nov 2024, across 33 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 39% of everything it billed.
33Billing provider infoKANSAS DENTAL TEAM LLC
KANSAS CITY, KS 66112
KANSAS CITY, KS 66112
33aNPI1699263533assigned 04/26/2018
33bProvider typePediatric Dentist
28Total paid$1.74M
24GClaims34,411
24DCodes billed33
24AFirst – last monthDec 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Kansas
Rank by total paid#13 of 41
Median peer was paid$505K
This provider vs. median3.5×
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 | 15 | $0.00 | |
| 2019 | 1,617 | $68K | |
| 2020 | 4,051 | $190K | |
| 2021 | 6,370 | $360K | |
| 2022 | 6,635 | $481K | |
| 2023 | 8,246 | $359K | |
| 2024incomplete | 7,477 | $286K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 39% | 5,472 | 1,166 | $672K |
| D9420 | 9.7% | 2,105 | 2,049 | $169K | |
| D7140 | Extraction, erupted tooth or exposed root | 8.8% | 1,755 | 561 | $153K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 5.6% | 1,576 | 558 | $97K |
| D0210 | Intraoral - complete series of radiographic images | 5.5% | 1,672 | 1,637 | $96K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.1% | 2,797 | 2,743 | $89K |
| D1351 | Sealant - per tooth | 4.6% | 2,935 | 327 | $80K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.3% | 718 | 273 | $58K |
| D2934 | 2.9% | 380 | 138 | $51K | |
| D2330 | 2.9% | 690 | 241 | $50K | |
| D0140 | Limited oral evaluation - problem focused | 2.2% | 1,281 | 1,247 | $38K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.8% | 906 | 906 | $31K |
21 more codes
| D7240 | Removal of impacted tooth - completely bony | 1.7% | 198 | $30K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 1,955 | $22K |
| D1206 | Topical application of fluoride varnish | 1.2% | 1,102 | $21K |
| D0330 | Panoramic radiographic image | 1.0% | 442 | $18K |
| D0120 | Dental checkup, returning patient | <1% | 560 | $13K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 835 | $11K |
| D0274 | Bitewings - four radiographic images | <1% | 345 | $11K |
| D1110 | Prophylaxis - adult | <1% | 155 | $7K |
| D0272 | Bitewings - two radiographic images | <1% | 245 | $6K |
| D9310 | <1% | 176 | $5K | |
| D7230 | <1% | 25 | $4K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 100 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 29 | $3K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 35 | $2K |
| D9222 | <1% | 18 | $2K | |
| D0240 | <1% | 28 | $534.24 | |
| D9610 | <1% | 18 | $357.00 | |
| D9219 | <1% | 18 | $352.80 | |
| D1999 | <1% | 306 | $18.75 | |
| D0603 | 0% | 4,399 | $0.00 | |
| D1330 | 0% | 1,135 | $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 officialBERRY, MICHAEL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| City Central Dermatology PLLC | Elmhurst, NY | $7.71M |
| El Dorado Pathology Medical Group, INC | Placerville, CA | $695K |
| Michael a Berry | Columbus, MS | $93K |
| Louisiana College | Pineville, LA | $5K |
| Lake Michigan Hand Center, PC | Saint Joseph, MI | $749.46 |
| Southern Medical Consultants LLC | Ridgeland, MS | $404.38 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.