Dental
Black, Harrison
Black, Harrison was paid $1.39M by Medicaid between Aug 2019 and Nov 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoBLACK, HARRISON
WICHITA, KS 67218
WICHITA, KS 67218
33aNPI1750780052assigned 08/22/2014
33bProvider typeDentist
28Total paid$1.39M
24GClaims45,733
24DCodes billed21
24AFirst – last monthAug 2019 – Nov 2024
Compared with peers
Next to other Dentist providers in Kansas
Rank by total paid#10 of 112
Median peer was paid$52K
This provider vs. median27×
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 | 571 | $11K | |
| 2020 | 3,158 | $78K | |
| 2021 | 7,861 | $241K | |
| 2022 | 11,056 | $360K | |
| 2023 | 14,758 | $470K | |
| 2024incomplete | 8,329 | $233K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 6,432 | 6,166 | $205K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 2,039 | 885 | $158K |
| D1351 | Sealant - per tooth | 11% | 6,179 | 1,254 | $157K |
| D1206 | Topical application of fluoride varnish | 9.9% | 7,510 | 7,155 | $138K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.2% | 5,077 | 4,878 | $114K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.5% | 747 | 216 | $90K |
| D7140 | Extraction, erupted tooth or exposed root | 6.5% | 1,064 | 515 | $90K |
| D0240 | 5.8% | 4,582 | 4,038 | $80K | |
| D0272 | Bitewings - two radiographic images | 5.3% | 3,449 | 3,305 | $74K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.6% | 2,118 | 2,009 | $64K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 770 | 446 | $54K |
| D1110 | Prophylaxis - adult | 2.3% | 761 | 721 | $32K |
9 more codes
| D0140 | Limited oral evaluation - problem focused | 2.3% | 1,064 | $32K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.7% | 861 | $24K |
| D2390 | 1.7% | 174 | $24K | |
| D0330 | Panoramic radiographic image | 1.6% | 420 | $22K |
| D0274 | Bitewings - four radiographic images | 1.1% | 475 | $15K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 942 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,036 | $7K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 21 | $1K |
| D0191 | 0% | 12 | $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.