Abc Dental LLC

Abc Dental LLC was paid $5K by Medicaid between Oct 2018 and Mar 2020, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 35% of everything it billed.

33Billing provider infoABC DENTAL LLC
INDEPENDENCE, MO 64050

33aNPI1841500576assigned 10/15/2010

33bProvider typeGeneral Practice Dentistry

28Total paid$5K

24GClaims325

24DCodes billed5

24AFirst – last monthOct 2018 – Mar 2020

Compared with peers

Next to other General Practice Dentistry providers in Missouri

Rank by total paid#223 of 260

Median peer was paid$78K

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
2018	12	$266.96
2019	273	$4K
2020	40	$576.81

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	35%	80	77	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	52	52	$1K
D1208	Topical application of fluoride, excluding varnish	18%	74	71	$822.10
D0230	Intraoral - periapical each additional radiographic image	12%	79	26	$559.30
D0220	Intraoral - periapical first radiographic image	7.5%	40	40	$343.20

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 officialSHEHAN, KRISTA (OFFICE MANAGER)