Kennedy Dental Office

Kennedy Dental Office was paid $18K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 39% of everything it billed.

33Billing provider infoKENNEDY DENTAL OFFICE
MONTGOMERY, WV 25136

33aNPI1447311451assigned 12/13/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$18K

24GClaims504

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in West Virginia

Rank by total paid#116 of 193

Median peer was paid$44K

This provider vs. median0.4×

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	26	$755.00
2020	16	$0.00
2024incomplete	462	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	39%	190	167	$7K
D1110	Prophylaxis - adult	19%	59	59	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	126	126	$3K
D0330	Panoramic radiographic image	15%	41	41	$3K
D1206	Topical application of fluoride varnish	5.0%	45	45	$924.00
D1120	Dental cleaning, childProphylaxis - child	2.4%	14	14	$440.00
D0220	Intraoral - periapical first radiographic image	1.2%	13	13	$214.50
D1999		0%	16	12	$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.

From NPPES

Who's on the registration

Authorized officialDILLON, KIMBERLY (ACCOUNT MANAGER)