Dental
Special Care Dental of Missouri LLC
Special Care Dental of Missouri LLC was paid $747K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 28% of everything it billed.
33Billing provider infoSPECIAL CARE DENTAL OF MISSOURI LLC
LEAWOOD, KS 66211
LEAWOOD, KS 66211
33aNPI1790127512assigned 07/22/2013
33bProvider typeDental Hygienist
28Total paid$747K
24GClaims17,114
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
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 | 256 | $7K | |
| 2019 | 1,268 | $30K | |
| 2020 | 260 | $8K | |
| 2021 | 2,085 | $45K | |
| 2022 | 1,504 | $57K | |
| 2023 | 5,630 | $275K | |
| 2024incomplete | 6,111 | $326K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 28% | 3,053 | 2,625 | $207K |
| D0150 | Comprehensive oral evaluation - new or established patient | 27% | 4,443 | 3,770 | $202K |
| D9410 | 20% | 3,017 | 2,573 | $152K | |
| D1110 | Prophylaxis - adult | 18% | 2,524 | 2,131 | $138K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.4% | 1,749 | 1,468 | $48K |
| D1206 | Topical application of fluoride varnish | 0% | 1,711 | 1,423 | $0.00 |
| D1330 | 0% | 227 | 200 | $0.00 | |
| D1999 | 0% | 370 | 354 | $0.00 | |
| D9932 | 0% | 20 | 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.
From NPPES
Who's on the registration
Authorized officialSEPANEK, LESLIE (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Onhealthcare LLC | Indianapolis, IN | $463K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.