Andersen, David

Andersen, David was paid $60K by Medicaid between Jan 2018 and Nov 2018, across 10 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 47% of everything it billed.

33Billing provider infoANDERSEN, DAVID
IOLA, KS 66749

33aNPI1932376910assigned 05/09/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$60K

24GClaims982

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2018

Compared with peers

Next to other General Practice Dentistry providers in Kansas

Rank by total paid#90 of 203

Median peer was paid$40K

This provider vs. median1.5×

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
2018	982	$60K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	47%	525	520	$28K
D1120	Dental cleaning, childProphylaxis - child	20%	140	139	$12K
D1110	Prophylaxis - adult	14%	93	92	$8K
D0330	Panoramic radiographic image	8.5%	47	46	$5K
D0140	Limited oral evaluation - problem focused	6.4%	55	55	$4K
D0150	Comprehensive oral evaluation - new or established patient	3.6%	41	40	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	39	37	$253.00
D0274	Bitewings - four radiographic images	<1%	14	14	$126.50
D0191		0%	14	14	$0.00
D0220	Intraoral - periapical first radiographic image	0%	14	12	$0.00

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.