Dental
Kirk, Arlette
Kirk, Arlette was paid $26K by Medicaid between Jan 2020 and May 2021, across 3 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 100% of everything it billed.
33Billing provider infoKIRK, ARLETTE
KENMORE, NY 14217
KENMORE, NY 14217
33aNPI1316065733assigned 03/26/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$26K
24GClaims246
24DCodes billed3
24AFirst – last monthJan 2020 – May 2021
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#1,328 of 2,184
Median peer was paid$54K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2020 | 127 | $12K | |
| 2021 | 119 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9999 | Unspecified adjunctive procedure, by report | 100% | 189 | 161 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 13 | 13 | $59.00 |
| D1999 | 0% | 44 | 41 | $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.