Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Gross, Kent

Gross, Kent was paid $695K by Medicaid between Jan 2020 and Mar 2022, across 23 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 26% of everything it billed.

33Billing provider infoGROSS, KENT
FORT WAYNE, IN 46809
33aNPI1811083249assigned 10/05/2006
28Total paid$695K
24GClaims22,921
24DCodes billed23
24AFirst – last monthJan 2020 – Mar 2022
Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#96 of 723
Median peer was paid$60K
This provider vs. median12×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
202012,218$315K
202110,653$380K
202250$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 26% 1,413 463 $183K
D1351 Sealant - per tooth 11% 2,926 767 $76K
D1120 Dental cleaning, childProphylaxis - child 7.3% 1,671 1,638 $51K
D1208 Topical application of fluoride, excluding varnish 6.9% 2,443 2,394 $48K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 5.8% 484 170 $41K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 5.8% 2,032 1,994 $40K
D1110 Prophylaxis - adult 5.3% 883 865 $37K
D0272 Bitewings - two radiographic images 4.9% 1,576 1,536 $34K
D7111 4.4% 497 258 $30K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 4.4% 1,149 1,062 $30K
D0274 Bitewings - four radiographic images 3.4% 776 759 $24K
D0150 Comprehensive oral evaluation - new or established patient 2.4% 534 521 $17K
11 more codes
D0210 Intraoral - complete series of radiographic images 2.4% 516 $17K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.1% 319 $14K
D2150 Silver amalgam - two surfaces, primary or permanent 1.7% 172 $12K
D0220 Intraoral - periapical first radiographic image 1.6% 1,254 $11K
D0230 Intraoral - periapical each additional radiographic image 1.5% 1,159 $10K
D7140 Extraction, erupted tooth or exposed root <1% 110 $7K
D9920 <1% 239 $6K
D0140 Limited oral evaluation - problem focused <1% 319 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 54 $3K
D0330 Panoramic radiographic image <1% 58 $212.92
D1999 0% 2,337 $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.