Vandevender, Bethany
Vandevender, Bethany was paid $451K by Medicaid between Jan 2018 and Mar 2020, across 20 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 12% of everything it billed.
33Billing provider infoVANDEVENDER, BETHANY
SEDALIA, MO 65301
SEDALIA, MO 65301
33aNPI1871727826assigned 05/05/2009
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$451K
24GClaims11,335
24DCodes billed20
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Missouri
Rank by total paid#3 of 102
Median peer was paid$7K
This provider vs. median66×
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 | 6,856 | $343K | |
| 2019 | 3,581 | $90K | |
| 2020 | 898 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 12% | 2,016 | 1,953 | $54K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 284 | 146 | $54K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 1,459 | 1,410 | $52K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,742 | 1,688 | $49K |
| D1351 | Sealant - per tooth | 7.8% | 1,178 | 404 | $35K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.6% | 406 | 326 | $34K |
| D0330 | Panoramic radiographic image | 7.3% | 412 | 387 | $33K |
| D1110 | Prophylaxis - adult | 7.2% | 570 | 555 | $32K |
| D0272 | Bitewings - two radiographic images | 5.7% | 1,010 | 994 | $26K |
| D0274 | Bitewings - four radiographic images | 3.9% | 560 | 548 | $18K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.7% | 176 | 142 | $17K |
| D2140 | 2.8% | 160 | 111 | $12K |
8 more codes
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.3% | 123 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 434 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 537 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 1.0% | 187 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 17 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 25 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 23 | $800.00 |
| D0140 | Limited oral evaluation - problem focused | <1% | 16 | $800.00 |
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.