Salthouse, Corbin

Salthouse, Corbin was paid $7K by Medicaid between Mar 2020 and Mar 2021, across 4 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 37% of everything it billed.

33Billing provider infoSALTHOUSE, CORBIN
DES PERES, MO 63131

33aNPI1790338168assigned 07/24/2019

33bProvider typePediatric Dentist

28Total paid$7K

24GClaims454

24DCodes billed4

24AFirst – last monthMar 2020 – Mar 2021

Compared with peers

Next to other Pediatric Dentist providers in Missouri

Rank by total paid#31 of 39

Median peer was paid$73K

This provider vs. median0.1×

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
2020	374	$6K
2021	80	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	37%	171	170	$3K
D1120	Dental cleaning, childProphylaxis - child	33%	118	114	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	17%	71	70	$1K
D0272	Bitewings - two radiographic images	13%	94	93	$920.00

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.