Booneville Family Dentistry

Booneville Family Dentistry was paid $447K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 18% of everything it billed.

33Billing provider infoBOONEVILLE FAMILY DENTISTRY
BOONEVILLE, KY 41314

33aNPI1053557660assigned 01/02/2009

33bProvider typeGeneral Practice Dentistry

28Total paid$447K

24GClaims12,660

24DCodes billed18

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Kentucky

Rank by total paid#100 of 462

Median peer was paid$106K

This provider vs. median4.2×

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	2,557	$99K
2019	2,864	$97K
2020	1,950	$57K
2021	1,404	$37K
2022	1,067	$30K
2023	1,762	$85K
2024incomplete	1,056	$42K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7140	Extraction, erupted tooth or exposed root	18%	1,342	401	$79K
D0150	Comprehensive oral evaluation - new or established patient	14%	2,462	2,392	$65K
D0330	Panoramic radiographic image	14%	1,515	1,471	$62K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	12%	876	428	$54K
D2391	Resin-based composite - one surface, posterior, primary or permanent	9.8%	1,234	391	$44K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	6.6%	610	298	$30K
D2330		6.0%	645	242	$27K
D1110	Prophylaxis - adult	4.0%	445	435	$18K
D0220	Intraoral - periapical first radiographic image	3.6%	2,073	1,952	$16K
D0274	Bitewings - four radiographic images	2.8%	535	513	$12K
D0140	Limited oral evaluation - problem focused	2.5%	375	343	$11K
D2332		2.4%	175	90	$11K

6 more codes

D2335		1.5%	91	$7K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	1.4%	114	$6K
D9110		<1%	78	$4K
D2331		<1%	20	$1K
D1208	Topical application of fluoride, excluding varnish	<1%	51	$937.50
D0230	Intraoral - periapical each additional radiographic image	<1%	19	$106.29

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 officialGAY, JASON (OWNER)

Same official

Other billing entities under GAY, JASON

Full network →

Provider	Location	Paid
Irvine Family Dentistry	Irvine, KY	$54K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.