Dental
Bontrager, Kylie
Bontrager, Kylie was paid $184K by Medicaid between Jan 2018 and May 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoBONTRAGER, KYLIE
INDIANAPOLIS, IN 46227
INDIANAPOLIS, IN 46227
33aNPI1205386687assigned 10/10/2016
33bProvider typePediatric Dentist
28Total paid$184K
24GClaims9,014
24DCodes billed18
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Pediatric Dentist providers in Indiana
Rank by total paid#91 of 155
Median peer was paid$414K
This provider vs. median0.4×
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 | 735 | $16K | |
| 2019 | 70 | $2K | |
| 2020 | 5,516 | $102K | |
| 2021 | 2,604 | $62K | |
| 2024incomplete | 89 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 1,137 | 1,061 | $36K |
| D1206 | Topical application of fluoride varnish | 12% | 1,144 | 1,072 | $23K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,093 | 1,033 | $23K |
| D1351 | Sealant - per tooth | 12% | 865 | 217 | $22K |
| D0272 | Bitewings - two radiographic images | 7.2% | 757 | 724 | $13K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.5% | 96 | 53 | $12K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.2% | 435 | 407 | $11K |
| D1110 | Prophylaxis - adult | 4.7% | 214 | 214 | $9K |
| D2140 | 3.4% | 145 | 106 | $6K | |
| D0274 | Bitewings - four radiographic images | 3.4% | 213 | 213 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 730 | 690 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 145 | 140 | $4K |
6 more codes
| D0210 | Intraoral - complete series of radiographic images | 2.2% | 122 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 2.2% | 203 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 568 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 24 | $899.76 |
| D0140 | Limited oral evaluation - problem focused | <1% | 24 | $74.16 |
| D1999 | 0% | 1,099 | $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.