Clinic
Provide Dental
Provide Dental was paid $2K by Medicaid between Jul 2024 and Aug 2024, across 2 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 70% of everything it billed.
33Billing provider infoPROVIDE DENTAL
SAINT LOUIS, MO 63103
SAINT LOUIS, MO 63103
33aNPI1760253694assigned 01/10/2024
33bProvider typeDental Clinic/Center
28Total paid$2K
24GClaims44
24DCodes billed2
24AFirst – last monthJul 2024 – Aug 2024
Compared with peers
Next to other Dental Clinic/Center providers in Missouri
Rank by total paid#22 of 27
Median peer was paid$9K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2024incomplete | 44 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 70% | 29 | 28 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 15 | 14 | $634.40 |
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 officialSON, PHILIP (OWNER/ GENERAL DENTIST)