Dental
Nora, Mary Grace
Nora, Mary Grace was paid $56K by Medicaid between Feb 2019 and Jul 2019, across 13 billing codes. Its largest line is D4341, — 38% of everything it billed.
33Billing provider infoNORA, MARY GRACE
WICHITA, KS 67220
WICHITA, KS 67220
33aNPI1942678370assigned 09/02/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$56K
24GClaims2,526
24DCodes billed13
24AFirst – last monthFeb 2019 – Jul 2019
Compared with peers
Next to other General Practice Dentistry providers in Kansas
Rank by total paid#91 of 203
Median peer was paid$40K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2019 | 2,526 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D4341 | 38% | 232 | 74 | $21K | |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 387 | 181 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 446 | 207 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 9.1% | 381 | 176 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.4% | 229 | 112 | $3K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.4% | 70 | 28 | $3K |
| D0274 | Bitewings - four radiographic images | 5.3% | 297 | 153 | $3K |
| D1110 | Prophylaxis - adult | 4.8% | 121 | 51 | $3K |
| D4910 | 1.8% | 15 | 15 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 69 | 51 | $740.80 |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 94 | 37 | $729.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 128 | 42 | $347.20 |
1 more codes
| D0330 | Panoramic radiographic image | <1% | 57 | $293.80 |
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.