Dental
Willow Dental
Willow Dental was paid $109K by Medicaid between Sep 2020 and Mar 2022, across 13 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 20% of everything it billed.
33Billing provider infoWILLOW DENTAL
KILLEN, AL 35645
KILLEN, AL 35645
33aNPI1851936942assigned 11/12/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$109K
24GClaims4,078
24DCodes billed13
24AFirst – last monthSep 2020 – Mar 2022
Compared with peers
Next to other General Practice Dentistry providers in Alabama
Rank by total paid#109 of 293
Median peer was paid$31K
This provider vs. median3.5×
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 | |
|---|---|---|---|
| 2020 | 334 | $8K | |
| 2021 | 3,177 | $85K | |
| 2022 | 567 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 20% | 1,055 | 1,024 | $22K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 751 | 727 | $19K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 226 | 159 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.3% | 169 | 114 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.9% | 437 | 410 | $10K |
| D0330 | Panoramic radiographic image | 8.8% | 294 | 280 | $10K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.6% | 496 | 451 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.5% | 384 | 378 | $7K |
| D0272 | Bitewings - two radiographic images | 2.3% | 165 | 163 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 55 | 54 | $712.80 |
| D1110 | Prophylaxis - adult | <1% | 14 | 13 | $500.50 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 20 | 17 | $240.00 |
1 more codes
| D0274 | Bitewings - four radiographic images | <1% | 12 | $201.60 |
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 officialEVANS, STACEY (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| The ARC of Sedgwick County, INC. | Wichita, KS | $7.05M |
| Agape Services, LLC | Wichita, KS | $1.36M |
| Bruce D. Evans | Florence, AL | $516K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.