Dental
SR Bossier LLC
SR Bossier LLC was paid $4K by Medicaid between Feb 2024 and Oct 2024, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 41% of everything it billed.
33Billing provider infoSR BOSSIER LLC
BOSSIER CITY, LA 71111
BOSSIER CITY, LA 71111
33aNPI1821722240assigned 07/12/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims93
24DCodes billed4
24AFirst – last monthFeb 2024 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Louisiana
Rank by total paid#327 of 412
Median peer was paid$83K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 93 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 41% | 24 | 24 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 30% | 42 | 42 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 13 | 12 | $641.30 |
| D0272 | Bitewings - two radiographic images | 11% | 14 | 14 | $406.14 |
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 officialHOWELL, ABIGAIL (PRACTICE MANAGEMENT)
| Provider | Location | Paid |
|---|---|---|
| SR Mansfield LLC | Mansfield, LA | $1.03M |
| SR Minden LLC | Minden, LA | $46K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.