Kirtland, Kelly

Kirtland, Kelly was paid $10K by Medicaid between Nov 2022 and Feb 2024, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.

33Billing provider infoKIRTLAND, KELLY
PORTLAND, ME 04103

33aNPI1275535320assigned 06/01/2005

33bProvider typePediatric Dentist

28Total paid$10K

24GClaims403

24DCodes billed11

24AFirst – last monthNov 2022 – Feb 2024

Compared with peers

Next to other Pediatric Dentist providers in Maine

Rank by total paid#17 of 17

Median peer was paid$748K

This provider vs. median0.0×

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	71	$345.00
2024incomplete	332	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	22%	66	52	$2K
D1206	Topical application of fluoride varnish	21%	81	66	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	53	42	$2K
D0150	Comprehensive oral evaluation - new or established patient	13%	26	18	$1K
D0272	Bitewings - two radiographic images	9.0%	46	34	$903.90
D1110	Prophylaxis - adult	8.5%	13	12	$847.86
D0274	Bitewings - four radiographic images	6.3%	17	15	$628.80
D0220	Intraoral - periapical first radiographic image	2.1%	21	15	$206.43
D1330		0%	27	27	$0.00
D0603		0%	26	26	$0.00
D1310		0%	27	27	$0.00

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.