Dental
Beaumont, Kelli
Beaumont, Kelli was paid $672.00 by Medicaid between Jun 2019 and Sep 2020, across 4 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 55% of everything it billed.
33Billing provider infoBEAUMONT, KELLI
GRANTS PASS, OR 97526
GRANTS PASS, OR 97526
33aNPI1093188674assigned 11/04/2015
33bProvider typeDental Hygienist
28Total paid$672.00
24GClaims164
24DCodes billed4
24AFirst – last monthJun 2019 – Sep 2020
Compared with peers
Next to other Dental Hygienist providers in Oregon
Rank by total paid#32 of 78
Median peer was paid$216.04
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2019 | 36 | $0.00 | |
| 2020 | 128 | $672.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 55% | 56 | 55 | $368.00 |
| D0191 | 45% | 84 | 81 | $304.00 | |
| D1330 | 0% | 12 | 12 | $0.00 | |
| D1320 | 0% | 12 | 12 | $0.00 |
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.