Clinic
Exceptional Dental of Kenner
Exceptional Dental of Kenner was paid $28K by Medicaid between Jan 2018 and Oct 2018, across 9 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 29% of everything it billed.
33Billing provider infoEXCEPTIONAL DENTAL OF KENNER
KENNER, LA 70065
KENNER, LA 70065
33aNPI1194035352assigned 10/20/2010
33bProvider typeDental Clinic/Center
28Total paid$28K
24GClaims877
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Dental Clinic/Center providers in Louisiana
Rank by total paid#40 of 59
Median peer was paid$90K
This provider vs. median0.3×
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 | 877 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 29% | 101 | 46 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 171 | 171 | $5K |
| D1110 | Prophylaxis - adult | 15% | 93 | 93 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 102 | 102 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 8.8% | 132 | 132 | $2K |
| D0272 | Bitewings - two radiographic images | 7.4% | 187 | 183 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.5% | 51 | 44 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 28 | 26 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12 | 12 | $102.83 |
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 officialBOURG, DARRELL (DENTIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Exceptional Dental of Metairie, LLC | Metairie, LA | $9K |
| Exceptional Dental of Marrero | Marrero, LA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.