Dental
Little Apple Pediatric Dentistry, LLC
Little Apple Pediatric Dentistry, LLC was paid $29K by Medicaid between Jul 2019 and Jun 2020, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.
33Billing provider infoLITTLE APPLE PEDIATRIC DENTISTRY, LLC
MANHATTAN, KS 66502
MANHATTAN, KS 66502
33aNPI1710428180assigned 03/17/2017
33bProvider typePediatric Dentist
28Total paid$29K
24GClaims1,569
24DCodes billed10
24AFirst – last monthJul 2019 – Jun 2020
Compared with peers
Next to other Pediatric Dentist providers in Kansas
Rank by total paid#32 of 41
Median peer was paid$505K
This provider vs. median0.1×
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 | 208 | $5K | |
| 2020 | 1,361 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 279 | 273 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 318 | 314 | $7K |
| D1206 | Topical application of fluoride varnish | 19% | 328 | 323 | $6K |
| D1351 | Sealant - per tooth | 11% | 125 | 48 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.6% | 63 | 57 | $2K |
| D1110 | Prophylaxis - adult | 6.0% | 41 | 41 | $2K |
| D0272 | Bitewings - two radiographic images | 5.8% | 86 | 86 | $2K |
| D0603 | 0% | 120 | 118 | $0.00 | |
| D0602 | 0% | 12 | 12 | $0.00 | |
| D1999 | 0% | 197 | 176 | $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 officialUNDERWOOD, KORI (OWNER/DENTIST)