Dental
Kahan, Jack
Kahan, Jack was paid $18K by Medicaid between Jan 2018 and Nov 2018, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.
33Billing provider infoKAHAN, JACK
FULTON, NY 13069
FULTON, NY 13069
33aNPI1265492995assigned 03/25/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$18K
24GClaims1,691
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#1,423 of 2,184
Median peer was paid$54K
This provider vs. median0.3×
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 | 1,691 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 32% | 349 | 349 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 14% | 130 | 130 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 205 | 205 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 290 | 290 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 330 | 329 | $2K |
| D0274 | Bitewings - four radiographic images | 11% | 245 | 245 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 2.6% | 103 | 103 | $458.26 |
| D1120 | Dental cleaning, childProphylaxis - child | 2.4% | 27 | 27 | $438.89 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 12 | 12 | $124.83 |
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.