Kellow, Hiba

Kellow, Hiba was paid $30K by Medicaid between Jan 2018 and May 2019, across 9 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 41% of everything it billed.

33Billing provider infoKELLOW, HIBA
OMAHA, NE 68127

33aNPI1053312363assigned 08/09/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$30K

24GClaims923

24DCodes billed9

24AFirst – last monthJan 2018 – May 2019

Compared with peers

Next to other General Practice Dentistry providers in Nebraska

Rank by total paid#88 of 201

Median peer was paid$21K

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
2018	663	$25K
2019	260	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	41%	91	49	$12K
D0220	Intraoral - periapical first radiographic image	12%	309	289	$4K
D0230	Intraoral - periapical each additional radiographic image	12%	217	209	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	152	149	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	8.2%	25	12	$2K
D0150	Comprehensive oral evaluation - new or established patient	6.5%	52	52	$2K
D1110	Prophylaxis - adult	4.8%	36	36	$1K
D0274	Bitewings - four radiographic images	2.3%	24	24	$675.36
D0140	Limited oral evaluation - problem focused	1.9%	17	14	$557.77

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.