Dental
Hackman, Kendra
Hackman, Kendra was paid $32K by Medicaid between Dec 2022 and Oct 2024, across 12 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoHACKMAN, KENDRA
MISSOULA, MT 59801
MISSOULA, MT 59801
33aNPI1245800333assigned 06/30/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$32K
24GClaims742
24DCodes billed12
24AFirst – last monthDec 2022 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Montana
Rank by total paid#81 of 149
Median peer was paid$40K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2022 | 29 | $740.53 | |
| 2024incomplete | 713 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 18% | 50 | 31 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 40 | 30 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 139 | 139 | $4K |
| D1110 | Prophylaxis - adult | 10.0% | 65 | 65 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.9% | 85 | 85 | $3K |
| D1206 | Topical application of fluoride varnish | 7.9% | 135 | 135 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 7.1% | 16 | 12 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.9% | 55 | 54 | $2K |
| D0274 | Bitewings - four radiographic images | 4.9% | 51 | 51 | $2K |
| D0330 | Panoramic radiographic image | 3.6% | 21 | 21 | $1K |
| D1351 | Sealant - per tooth | 3.5% | 34 | 14 | $1K |
| D0272 | Bitewings - two radiographic images | 3.2% | 51 | 51 | $1K |
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.