Clinic
Rawlins County Dental Clinic Fund
Rawlins County Dental Clinic Fund was paid $624K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoRAWLINS COUNTY DENTAL CLINIC FUND
ATWOOD, KS 67730
ATWOOD, KS 67730
33aNPI1740423003assigned 04/15/2009
33bProvider typeDental Clinic/Center
28Total paid$624K
24GClaims21,144
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Kansas
Rank by total paid#10 of 41
Median peer was paid$98K
This provider vs. median6.4×
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 | 3,168 | $74K | |
| 2019 | 2,229 | $67K | |
| 2020 | 2,567 | $79K | |
| 2021 | 4,042 | $133K | |
| 2022 | 1,161 | $28K | |
| 2023 | 4,318 | $124K | |
| 2024incomplete | 3,659 | $118K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 3,143 | 3,056 | $98K |
| D1206 | Topical application of fluoride varnish | 14% | 4,708 | 4,569 | $85K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 3,477 | 3,381 | $76K |
| D7140 | Extraction, erupted tooth or exposed root | 11% | 840 | 379 | $71K |
| D1110 | Prophylaxis - adult | 10% | 1,525 | 1,469 | $64K |
| D1351 | Sealant - per tooth | 6.8% | 1,587 | 337 | $42K |
| D0140 | Limited oral evaluation - problem focused | 5.4% | 1,184 | 1,123 | $33K |
| D0274 | Bitewings - four radiographic images | 4.9% | 1,026 | 990 | $30K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.3% | 364 | 204 | $27K |
| D0330 | Panoramic radiographic image | 4.2% | 599 | 567 | $26K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.6% | 315 | 178 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 694 | 675 | $21K |
10 more codes
| D0272 | Bitewings - two radiographic images | 2.3% | 678 | $14K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 381 | $5K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 126 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 87 | $2K |
| D9410 | <1% | 92 | $1K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 16 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 78 | $1K |
| D9996 | <1% | 141 | $769.60 | |
| D0270 | <1% | 15 | $119.46 | |
| D1354 | 0% | 68 | $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 officialPOCHOP, DEBRA (CEO)