Dental
First Avenue Dental, P.A.
First Avenue Dental, P.A. was paid $5.14M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 16% of everything it billed.
33Billing provider infoFIRST AVENUE DENTAL, P.A.
DODGE CITY, KS 67801
DODGE CITY, KS 67801
33aNPI1861788960assigned 06/27/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$5.14M
24GClaims120,759
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Kansas
Rank by total paid#7 of 203
Median peer was paid$40K
This provider vs. median128×
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 | 1,016 | $22K | |
| 2019 | 14,231 | $614K | |
| 2020 | 16,367 | $741K | |
| 2021 | 23,355 | $1.04M | |
| 2022 | 23,826 | $849K | |
| 2023 | 26,358 | $1.20M | |
| 2024incomplete | 15,606 | $677K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 16% | 5,769 | 793 | $844K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 13,577 | 13,393 | $563K |
| D1206 | Topical application of fluoride varnish | 9.3% | 20,358 | 19,982 | $478K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.0% | 16,005 | 15,765 | $464K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 8.2% | 5,698 | 768 | $424K |
| D1110 | Prophylaxis - adult | 6.8% | 6,330 | 6,230 | $351K |
| D0274 | Bitewings - four radiographic images | 6.2% | 8,248 | 8,075 | $319K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.1% | 3,364 | 911 | $314K |
| D0330 | Panoramic radiographic image | 5.7% | 4,688 | 4,582 | $292K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 5,198 | 5,094 | $197K |
| D7140 | Extraction, erupted tooth or exposed root | 3.5% | 1,704 | 612 | $182K |
| D9248 | 3.0% | 1,063 | 1,009 | $156K |
13 more codes
| D1351 | Sealant - per tooth | 2.2% | 3,148 | $114K |
| D0272 | Bitewings - two radiographic images | 2.1% | 3,948 | $109K |
| D2934 | 2.0% | 617 | $102K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.6% | 2,629 | $84K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 1,583 | $57K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,526 | $39K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 236 | $20K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 60 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 94 | $9K |
| D7961 | <1% | 19 | $4K | |
| D1510 | <1% | 18 | $4K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 184 | $2K |
| D1999 | <1% | 13,695 | $10.00 |
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 officialWILKINSON, JESICKA (ADMINISTRATION)