Kennebec Valley Family Dentistry

Kennebec Valley Family Dentistry was paid $4.71M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is D1120, dental cleaning, child — 9.9% of everything it billed.

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	15,282	$320K
2019	18,742	$425K
2020	14,081	$348K
2021	20,989	$569K
2022	22,602	$795K
2023	20,405	$979K
2024incomplete	26,522	$1.28M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	9.9%	12,707	12,409	$466K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	9.7%	15,153	14,846	$456K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	8.9%	3,742	2,840	$419K
D1110	Prophylaxis - adult	7.7%	7,330	7,187	$365K
D1206	Topical application of fluoride varnish	6.6%	17,081	16,652	$313K
D0140	Limited oral evaluation - problem focused	6.5%	9,496	9,136	$307K
D0330	Panoramic radiographic image	5.7%	4,639	4,554	$268K
D0274	Bitewings - four radiographic images	5.6%	8,620	8,438	$264K
D1351	Sealant - per tooth	5.4%	13,019	2,424	$254K
D1354		5.3%	10,071	2,760	$248K
D2391	Resin-based composite - one surface, posterior, primary or permanent	5.2%	2,805	2,057	$243K
D7140	Extraction, erupted tooth or exposed root	4.6%	2,263	1,400	$217K

28 more codes

D0150	Comprehensive oral evaluation - new or established patient	4.5%	4,227	$214K
D0220	Intraoral - periapical first radiographic image	2.4%	8,295	$113K
D3330	Endodontic therapy, molar tooth (excluding final restoration)	2.1%	110	$101K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	1.8%	663	$87K
D1208	Topical application of fluoride, excluding varnish	1.2%	4,886	$58K
D2950		<1%	351	$45K
D0272	Bitewings - two radiographic images	<1%	1,620	$44K
D9920		<1%	1,982	$37K
D1330		<1%	2,127	$37K
D0210	Intraoral - complete series of radiographic images	<1%	615	$29K
D3120		<1%	798	$22K
D0230	Intraoral - periapical each additional radiographic image	<1%	1,992	$20K
D1352		<1%	248	$19K
D0270		<1%	1,360	$18K
D2940		<1%	518	$15K
D2335		<1%	65	$8K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	177	$7K
D2394		<1%	30	$5K
D9110		<1%	109	$4K
D0460		<1%	139	$3K
D2331		<1%	30	$3K
D2332		<1%	25	$2K
D4910		<1%	12	$1K
D0145	Oral evaluation for a patient under three years of age	<1%	26	$1K
D4341		<1%	28	$1K
D0190		<1%	12	$265.92
D9986		0%	1,124	$0.00
D9987		0%	128	$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.

From NPPES

Who's on the registration

Authorized officialGORDON, KIMBERLEY (EXECUTIVE DIRECTOR)