Dental
Black, Kevin
Black, Kevin was paid $2K by Medicaid between May 2022 and May 2022, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.
33Billing provider infoBLACK, KEVIN
GALVESTON, TX 77551
GALVESTON, TX 77551
33aNPI1013352863assigned 05/07/2013
33bProvider typeDentist
28Total paid$2K
24GClaims125
24DCodes billed6
24AFirst – last monthMay 2022 – May 2022
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#1,337 of 1,678
Median peer was paid$35K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2022 | 125 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 15 | 15 | $551.25 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 19 | 19 | $548.15 |
| D0230 | Intraoral - periapical each additional radiographic image | 22% | 37 | 17 | $425.87 |
| D1206 | Topical application of fluoride varnish | 12% | 16 | 16 | $235.20 |
| D0220 | Intraoral - periapical first radiographic image | 11% | 17 | 17 | $213.52 |
| D0602 | 0% | 21 | 21 | $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.