Dental
Keith Fetterolf, DMD, P.A.
Keith Fetterolf, DMD, P.A. was paid $52K by Medicaid between Jul 2024 and Dec 2024, across 5 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 43% of everything it billed.
33Billing provider infoKEITH FETTEROLF, DMD, P.A.
GARNER, NC 27529
GARNER, NC 27529
33aNPI1023745130assigned 08/08/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$52K
24GClaims723
24DCodes billed5
24AFirst – last monthJul 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in North Carolina
Rank by total paid#460 of 756
Median peer was paid$121K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2024incomplete | 723 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 43% | 393 | 36 | $22K |
| D5140 | 19% | 16 | 16 | $10K | |
| D5130 | 14% | 12 | 12 | $7K | |
| D0140 | Limited oral evaluation - problem focused | 12% | 191 | 181 | $6K |
| D0330 | Panoramic radiographic image | 11% | 111 | 109 | $6K |
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 officialFETTEROLF, KEITH (OWNER)