Dental
Bumgardner, Kory
Bumgardner, Kory was paid $462.00 by Medicaid between Jul 2018 and Jul 2018, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 52% of everything it billed.
33Billing provider infoBUMGARDNER, KORY
HASTINGS, NE 68901
HASTINGS, NE 68901
33aNPI1407962988assigned 08/21/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$462.00
24GClaims24
24DCodes billed2
24AFirst – last monthJul 2018 – Jul 2018
Compared with peers
Next to other General Practice Dentistry providers in Nebraska
Rank by total paid#178 of 201
Median peer was paid$21K
This provider vs. median0.0×
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 | 24 | $462.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 52% | 12 | 12 | $242.00 |
| D1206 | Topical application of fluoride varnish | 48% | 12 | 12 | $220.00 |
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.