Dental
Antioch Dental INC
Antioch Dental INC was paid $25K by Medicaid between Jan 2018 and May 2019, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 35% of everything it billed.
33Billing provider infoANTIOCH DENTAL INC
OVERLAND PARK, KS 66212
OVERLAND PARK, KS 66212
33aNPI1790940872assigned 07/28/2008
33bProvider typeDentist
28Total paid$25K
24GClaims1,057
24DCodes billed10
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other Dentist providers in Kansas
Rank by total paid#68 of 112
Median peer was paid$52K
This provider vs. median0.5×
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 | 822 | $21K | |
| 2019 | 235 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 35% | 307 | 248 | $9K |
| D0274 | Bitewings - four radiographic images | 21% | 239 | 199 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 283 | 229 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.7% | 105 | 87 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.6% | 29 | 16 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.5% | 23 | 12 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 1.6% | 23 | 23 | $391.00 |
| D0330 | Panoramic radiographic image | 1.5% | 14 | 13 | $369.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 1.4% | 16 | 16 | $360.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 18 | 13 | $132.00 |
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 officialBOE, IRWIN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Shawnee Dental | Shawnee, KS | $8K |
| Advanced Dental P.A. | Paola, KS | $777.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.