KU, Terry

KU, Terry was paid $5K by Medicaid between Dec 2021 and Jun 2023, across 7 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 68% of everything it billed.

33Billing provider infoKU, TERRY
ADDISON, TX 75254

33aNPI1366972911assigned 06/15/2017

33bProvider typeGeneral Practice Dentistry

28Total paid$5K

24GClaims256

24DCodes billed7

24AFirst – last monthDec 2021 – Jun 2023

Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#2,069 of 2,774

Median peer was paid$43K

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
2021	14	$0.00
2023	242	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0145	Oral evaluation for a patient under three years of age	68%	26	26	$4K
D1120	Dental cleaning, childProphylaxis - child	8.5%	14	13	$441.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.8%	16	15	$403.90
D0230	Intraoral - periapical each additional radiographic image	7.1%	37	16	$368.32
D1208	Topical application of fluoride, excluding varnish	4.3%	17	16	$220.50
D0220	Intraoral - periapical first radiographic image	3.9%	17	16	$200.96
D0603		0%	129	127	$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.