Kevin C. Lucky DDS PLLC

Kevin C. Lucky DDS PLLC was paid $2K by Medicaid between Mar 2018 and Nov 2021, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 41% of everything it billed.

33Billing provider infoKEVIN C. LUCKY DDS PLLC
BECKLEY, WV 25801

33aNPI1235258757assigned 03/28/2007

33bProvider typeDental Clinic/Center

28Total paid$2K

24GClaims147

24DCodes billed4

24AFirst – last monthMar 2018 – Nov 2021

Compared with peers

Next to other Dental Clinic/Center providers in West Virginia

Rank by total paid#17 of 20

Median peer was paid$16K

This provider vs. median0.2×

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	13	$275.00
2019	114	$2K
2021	20	$563.40

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	41%	67	57	$1K
D1110	Prophylaxis - adult	32%	34	24	$778.40
D1208	Topical application of fluoride, excluding varnish	15%	31	27	$365.00
D1120	Dental cleaning, childProphylaxis - child	12%	15	13	$305.00

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 officialLUCKY, KEVIN (OWNER)