Dental
Pendleton, Steven
Pendleton, Steven was paid $11K by Medicaid between Jan 2018 and Apr 2018, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.
33Billing provider infoPENDLETON, STEVEN
KANSAS CITY, KS 66112
KANSAS CITY, KS 66112
33aNPI1770571952assigned 10/11/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$11K
24GClaims614
24DCodes billed7
24AFirst – last monthJan 2018 – Apr 2018
Compared with peers
Next to other General Practice Dentistry providers in Kansas
Rank by total paid#131 of 203
Median peer was paid$40K
This provider vs. median0.3×
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 | 614 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 93 | 93 | $2K |
| D1110 | Prophylaxis - adult | 17% | 44 | 43 | $2K |
| D0272 | Bitewings - two radiographic images | 17% | 91 | 91 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 15% | 136 | 129 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 92 | 91 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 139 | 110 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.6% | 19 | 19 | $609.90 |
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.