Dental
King, Kevin
King, Kevin was paid $111K by Medicaid between Jan 2018 and Nov 2018, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.
33Billing provider infoKING, KEVIN
BOLINGBROOK, IL 60440
BOLINGBROOK, IL 60440
33aNPI1033216049assigned 09/20/2006
33bProvider typeDentist
28Total paid$111K
24GClaims4,170
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#615 of 1,099
Median peer was paid$160K
This provider vs. median0.7×
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 | 4,170 | $111K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 762 | 759 | $30K |
| D1351 | Sealant - per tooth | 22% | 624 | 289 | $25K |
| D1206 | Topical application of fluoride varnish | 17% | 760 | 758 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 667 | 665 | $18K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.4% | 168 | 78 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.2% | 161 | 75 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 138 | 101 | $831.70 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 120 | 109 | $644.00 |
| D0272 | Bitewings - two radiographic images | <1% | 65 | 60 | $592.20 |
| D1110 | Prophylaxis - adult | <1% | 12 | 12 | $492.00 |
| D0274 | Bitewings - four radiographic images | <1% | 22 | 22 | $371.80 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | 12 | $127.80 |
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.