Managed care
Kennedy Family Dentistry, INC
Kennedy Family Dentistry, INC was paid $118K by Medicaid between Jan 2018 and Aug 2024, across 20 billing codes. Its largest line is D0120, dental checkup, returning patient — 30% of everything it billed.
33Billing provider infoKENNEDY FAMILY DENTISTRY, INC
SACRAMENTO, CA 95864
SACRAMENTO, CA 95864
33aNPI1407049612assigned 08/21/2007
33bProvider typeHealth Maintenance Organization
28Total paid$118K
24GClaims14,831
24DCodes billed20
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Health Maintenance Organization providers in California
Rank by total paid#64 of 151
Median peer was paid$59K
This provider vs. median2.0×
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 | 4,395 | $25K | |
| 2019 | 3,451 | $20K | |
| 2020 | 2,124 | $17K | |
| 2021 | 2,227 | $22K | |
| 2022 | 1,858 | $22K | |
| 2023 | 614 | $10K | |
| 2024incomplete | 162 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 2,276 | 2,163 | $36K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 1,646 | 1,579 | $20K |
| D1206 | Topical application of fluoride varnish | 17% | 1,621 | 1,551 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 3,032 | 2,739 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.9% | 407 | 403 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.4% | 2,889 | 2,086 | $5K |
| D9110 | 2.9% | 263 | 219 | $3K | |
| D0274 | Bitewings - four radiographic images | 2.4% | 345 | 337 | $3K |
| D0272 | Bitewings - two radiographic images | 2.3% | 666 | 638 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 1.8% | 110 | 110 | $2K |
| D9430 | 1.4% | 138 | 132 | $2K | |
| D1110 | Prophylaxis - adult | 1.3% | 38 | 37 | $1K |
8 more codes
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.
From NPPES
Who's on the registration
Authorized officialSETTLE, TIFFANY (OFFICE MANAGER)