Dental
Dever, Kelsey
Dever, Kelsey was paid $116K by Medicaid between Jan 2018 and Apr 2024, across 19 billing codes. Its largest line is D0120, dental checkup, returning patient — 67% of everything it billed.
33Billing provider infoDEVER, KELSEY
DAVENPORT, IA 52801
DAVENPORT, IA 52801
33aNPI1316477094assigned 06/15/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$116K
24GClaims5,082
24DCodes billed19
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other General Practice Dentistry providers in Iowa
Rank by total paid#103 of 437
Median peer was paid$22K
This provider vs. median5.3×
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 | 513 | $29K | |
| 2019 | 1,309 | $36K | |
| 2020 | 450 | $7K | |
| 2022 | 186 | $22K | |
| 2023 | 1,625 | $21K | |
| 2024incomplete | 999 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 67% | 1,387 | 1,346 | $78K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.2% | 192 | 192 | $9K |
| D0140 | Limited oral evaluation - problem focused | 7.1% | 131 | 129 | $8K |
| D0999 | Unspecified diagnostic procedure, by report | 4.5% | 64 | 57 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.4% | 94 | 87 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.8% | 974 | 937 | $3K |
| D1110 | Prophylaxis - adult | 2.4% | 209 | 192 | $3K |
| D0603 | 2.1% | 270 | 270 | $2K | |
| D1206 | Topical application of fluoride varnish | 2.0% | 928 | 901 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 16 | 16 | $101.18 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 164 | 160 | $101.18 |
| D0602 | 0% | 57 | 57 | $0.00 |
7 more codes
| D1330 | 0% | 25 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 97 | $0.00 |
| D0601 | 0% | 44 | $0.00 | |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 110 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 131 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 44 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 145 | $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.