Dental
Keilman, Mark
Keilman, Mark was paid $4K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 64% of everything it billed.
33Billing provider infoKEILMAN, MARK
THE DALLES, OR 97058
THE DALLES, OR 97058
33aNPI1144257551assigned 06/28/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims259
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#181 of 311
Median peer was paid$6K
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 | 68 | $2K | |
| 2019 | 14 | $354.57 | |
| 2023 | 43 | $930.00 | |
| 2024incomplete | 134 | $986.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 64% | 110 | 109 | $3K |
| D0274 | Bitewings - four radiographic images | 17% | 74 | 74 | $696.00 |
| D1110 | Prophylaxis - adult | 13% | 13 | 13 | $516.00 |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 12 | 12 | $110.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 25 | 25 | $76.00 |
| D0330 | Panoramic radiographic image | 1.3% | 25 | 25 | $52.00 |
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.