Dental
Lake Cumberland Pediatric Dentistry
Lake Cumberland Pediatric Dentistry was paid $269K by Medicaid between Dec 2018 and Sep 2024, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 40% of everything it billed.
33Billing provider infoLAKE CUMBERLAND PEDIATRIC DENTISTRY
SOMERSET, KY 42503
SOMERSET, KY 42503
33aNPI1073099792assigned 07/16/2018
33bProvider typePediatric Dentist
28Total paid$269K
24GClaims9,779
24DCodes billed15
24AFirst – last monthDec 2018 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Kentucky
Rank by total paid#84 of 134
Median peer was paid$467K
This provider vs. median0.6×
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 | 16 | $78.00 | |
| 2019 | 315 | $6K | |
| 2020 | 809 | $20K | |
| 2021 | 1,876 | $33K | |
| 2022 | 1,608 | $50K | |
| 2023 | 3,376 | $111K | |
| 2024incomplete | 1,779 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 40% | 2,348 | 2,154 | $108K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.8% | 1,192 | 1,109 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.0% | 1,075 | 967 | $24K |
| D1208 | Topical application of fluoride, excluding varnish | 7.4% | 1,397 | 1,265 | $20K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.6% | 562 | 483 | $18K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.5% | 322 | 139 | $17K |
| D0272 | Bitewings - two radiographic images | 6.1% | 975 | 905 | $16K |
| D1206 | Topical application of fluoride varnish | 5.2% | 873 | 818 | $14K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.7% | 101 | 40 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | 2.0% | 116 | 56 | $5K |
| D0330 | Panoramic radiographic image | 1.5% | 107 | 100 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 385 | 359 | $4K |
3 more codes
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 officialGABBARD, ANGELA (PEDIATRIC DENTIST)