Dental
Nance, Keith
Nance, Keith was paid $163K by Medicaid between Jan 2018 and Dec 2020, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 15% of everything it billed.
33Billing provider infoNANCE, KEITH
BOSCOBEL, WI 53805
BOSCOBEL, WI 53805
33aNPI1356361935assigned 07/19/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$163K
24GClaims7,805
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other General Practice Dentistry providers in Wisconsin
Rank by total paid#63 of 208
Median peer was paid$26K
This provider vs. median6.3×
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 | 1,861 | $46K | |
| 2019 | 3,258 | $67K | |
| 2020 | 2,686 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 15% | 940 | 920 | $24K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 446 | 313 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 937 | 915 | $18K |
| D1206 | Topical application of fluoride varnish | 9.3% | 1,230 | 1,203 | $15K |
| D0210 | Intraoral - complete series of radiographic images | 8.8% | 340 | 335 | $14K |
| D0140 | Limited oral evaluation - problem focused | 8.3% | 747 | 731 | $14K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.5% | 585 | 570 | $12K |
| D1351 | Sealant - per tooth | 7.1% | 697 | 115 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.6% | 651 | 629 | $9K |
| D0330 | Panoramic radiographic image | 4.9% | 219 | 216 | $8K |
| D0274 | Bitewings - four radiographic images | 2.9% | 299 | 288 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 491 | 476 | $4K |
4 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 53 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.2% | 32 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 105 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 33 | $167.56 |
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.