Ki, Ashley

Ki, Ashley was paid $6K by Medicaid between Mar 2019 and May 2019, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 42% of everything it billed.

33Billing provider infoKI, ASHLEY
MORAVIA, NY 13118

33aNPI1356409817assigned 12/05/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$6K

24GClaims169

24DCodes billed6

24AFirst – last monthMar 2019 – May 2019

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#1,693 of 2,184

Median peer was paid$54K

This provider vs. median0.1×

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
2019	169	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	42%	45	45	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	22%	45	45	$1K
D7140	Extraction, erupted tooth or exposed root	16%	19	13	$902.50
D0140	Limited oral evaluation - problem focused	9.6%	33	33	$534.70
D1206	Topical application of fluoride varnish	7.1%	14	14	$399.00
D0220	Intraoral - periapical first radiographic image	2.8%	13	13	$154.70

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.