Dental
KMC Dental, P.A.
KMC Dental, P.A. was paid $242K by Medicaid between Jan 2018 and Jan 2023, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 23% of everything it billed.
33Billing provider infoKMC DENTAL, P.A.
LEWISTON, ME 04240
LEWISTON, ME 04240
33aNPI1225559289assigned 06/29/2017
33bProvider typeDentist
28Total paid$242K
24GClaims10,615
24DCodes billed13
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Dentist providers in Maine
Rank by total paid#11 of 36
Median peer was paid$11K
This provider vs. median22×
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 | 2,813 | $66K | |
| 2019 | 2,491 | $58K | |
| 2020 | 1,806 | $40K | |
| 2021 | 2,156 | $47K | |
| 2022 | 1,232 | $29K | |
| 2023 | 117 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 1,939 | 1,899 | $56K |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 1,830 | 1,785 | $53K |
| D1110 | Prophylaxis - adult | 20% | 1,312 | 1,278 | $49K |
| D1206 | Topical application of fluoride varnish | 15% | 3,081 | 2,993 | $36K |
| D0274 | Bitewings - four radiographic images | 7.3% | 916 | 903 | $18K |
| D1351 | Sealant - per tooth | 3.6% | 584 | 85 | $9K |
| D0272 | Bitewings - two radiographic images | 2.1% | 357 | 350 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.1% | 60 | 28 | $5K |
| D1330 | 2.0% | 377 | 372 | $5K | |
| D0330 | Panoramic radiographic image | 1.1% | 65 | 65 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 43 | 43 | $2K |
| D1354 | <1% | 37 | 12 | $890.64 |
1 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 14 | $280.00 |
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.
From NPPES
Who's on the registration
Authorized officialCONNELLY, KEVIN (OWNER)