Dental
Grote, Kaydianne
Grote, Kaydianne was paid $322K by Medicaid between Jan 2018 and Apr 2024, across 21 billing codes. Its largest line is D0120, dental checkup, returning patient — 47% of everything it billed.
33Billing provider infoGROTE, KAYDIANNE
PITTSFIELD, IL 62363
PITTSFIELD, IL 62363
33aNPI1114471869assigned 08/11/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$322K
24GClaims11,997
24DCodes billed21
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#343 of 1,017
Median peer was paid$123K
This provider vs. median2.6×
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 | 3,055 | $68K | |
| 2019 | 1,906 | $41K | |
| 2020 | 1,418 | $14K | |
| 2021 | 1,237 | $57K | |
| 2022 | 815 | $102K | |
| 2023 | 2,229 | $39K | |
| 2024incomplete | 1,337 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 47% | 2,848 | 2,733 | $153K |
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 2,112 | 2,011 | $77K |
| D1208 | Topical application of fluoride, excluding varnish | 7.6% | 944 | 894 | $24K |
| D7140 | Extraction, erupted tooth or exposed root | 3.9% | 248 | 182 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.7% | 206 | 202 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 244 | 223 | $7K |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 395 | 354 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 1,373 | 1,317 | $5K |
| D1351 | Sealant - per tooth | 1.6% | 58 | 52 | $5K |
| D1110 | Prophylaxis - adult | 1.5% | 40 | 39 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 1,011 | 957 | $4K |
| D0274 | Bitewings - four radiographic images | 1.1% | 439 | 438 | $3K |
9 more codes
| D0210 | Intraoral - complete series of radiographic images | 1.0% | 355 | $3K |
| D0330 | Panoramic radiographic image | <1% | 237 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 58 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 253 | $1K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 14 | $674.10 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 130 | $624.00 |
| D1206 | Topical application of fluoride varnish | <1% | 922 | $220.80 |
| D0603 | 0% | 59 | $0.00 | |
| D0602 | 0% | 51 | $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.