KINSER FAMILY DENTISTRY, LLC
NPI: 1255796892
· EDMORE, MI 48829
· General Practice Dentistry
· NPI assigned 12/28/2015
$213K
Total Medicaid Paid
Provider Details
| Authorized Official | KINSER, SHAWN (OWNER, DENTIST) |
| NPI Enumeration Date | 12/28/2015 |
Related Entities
Other providers sharing the same authorized official: KINSER, SHAWN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,054 |
$48K |
| 2019 |
556 |
$25K |
| 2020 |
686 |
$21K |
| 2021 |
771 |
$22K |
| 2022 |
880 |
$26K |
| 2023 |
1,107 |
$33K |
| 2024 |
1,049 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,564 |
1,563 |
$56K |
| D1206 |
Topical application of fluoride varnish |
1,962 |
1,961 |
$45K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
363 |
204 |
$42K |
| D0120 |
Periodic oral evaluation - established patient |
1,500 |
1,498 |
$37K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
154 |
79 |
$14K |
| D1110 |
Prophylaxis - adult |
212 |
212 |
$10K |
| D0272 |
Bitewings - two radiographic images |
233 |
233 |
$4K |
| D0330 |
Panoramic radiographic image |
38 |
38 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
37 |
37 |
$2K |
| D0274 |
Bitewings - four radiographic images |
28 |
28 |
$801.75 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$204.00 |