Dental
Ellsworth, Kathleen
Ellsworth, Kathleen was paid $1.13M by Medicaid between Jan 2018 and May 2022, across 23 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 16% of everything it billed.
33Billing provider infoELLSWORTH, KATHLEEN
SARANAC, MI 48881
SARANAC, MI 48881
33aNPI1174526651assigned 05/27/2005
33bProvider typeDentist
28Total paid$1.13M
24GClaims26,896
24DCodes billed23
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#63 of 1,033
Median peer was paid$15K
This provider vs. median75×
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 | 6,700 | $328K | |
| 2019 | 6,461 | $270K | |
| 2020 | 4,869 | $169K | |
| 2021 | 6,334 | $260K | |
| 2022 | 2,532 | $103K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 16% | 1,214 | 632 | $185K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 1,577 | 1,016 | $183K |
| D7140 | Extraction, erupted tooth or exposed root | 10% | 1,461 | 822 | $118K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.3% | 2,845 | 2,835 | $106K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.5% | 2,821 | 2,817 | $73K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.1% | 494 | 352 | $69K |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 2,473 | 2,463 | $55K |
| D0220 | Intraoral - periapical first radiographic image | 4.4% | 3,152 | 3,048 | $49K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.9% | 438 | 271 | $44K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 5,036 | 2,330 | $43K |
| D1354 | 2.9% | 1,460 | 436 | $33K | |
| D0140 | Limited oral evaluation - problem focused | 2.8% | 798 | 780 | $31K |
11 more codes
| D1510 | 2.5% | 165 | $28K | |
| D1352 | 2.2% | 367 | $25K | |
| D1110 | Prophylaxis - adult | 2.1% | 495 | $24K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 268 | $24K |
| D0272 | Bitewings - two radiographic images | 1.9% | 937 | $21K |
| D1206 | Topical application of fluoride varnish | 1.2% | 576 | $14K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 55 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 64 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 38 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 16 | $0.00 |
| D0603 | 0% | 146 | $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.