Dental
Cross Trails Medical Center
Cross Trails Medical Center was paid $272K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoCROSS TRAILS MEDICAL CENTER
PERRYVILLE, MO 63775
PERRYVILLE, MO 63775
33aNPI1972925444assigned 01/17/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$272K
24GClaims6,852
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Missouri
Rank by total paid#63 of 260
Median peer was paid$78K
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 | |
|---|---|---|---|
| 2018 | 1,217 | $43K | |
| 2019 | 1,431 | $60K | |
| 2020 | 1,340 | $46K | |
| 2021 | 1,202 | $52K | |
| 2022 | 446 | $24K | |
| 2023 | 637 | $24K | |
| 2024incomplete | 579 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 1,177 | 1,134 | $71K |
| D0220 | Intraoral - periapical first radiographic image | 12% | 1,560 | 1,451 | $33K |
| D0330 | Panoramic radiographic image | 12% | 432 | 396 | $32K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 1,565 | 612 | $29K |
| D0274 | Bitewings - four radiographic images | 10% | 616 | 579 | $28K |
| D0140 | Limited oral evaluation - problem focused | 9.8% | 579 | 522 | $27K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.3% | 345 | 316 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.0% | 361 | 344 | $14K |
| D7140 | Extraction, erupted tooth or exposed root | 4.8% | 102 | 48 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.2% | 67 | 38 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 36 | 26 | $3K |
| D0270 | <1% | 12 | 12 | $276.00 |
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 officialWELLS, MONA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Cross Trails Medical Center | Marble Hill, MO | $331K |
| Cross Trails Medical Center | Advance, MO | $302K |
| Cross Trails Medical Center | Perryville, MO | $218K |
| Cross Trails Medical Center | Advance, MO | $141K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.