Dental
Stark, Kasey
Stark, Kasey was paid $60K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 17% of everything it billed.
33Billing provider infoSTARK, KASEY
OTISVILLE, MI 48463
OTISVILLE, MI 48463
33aNPI1477083855assigned 06/18/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$60K
24GClaims1,826
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#466 of 1,554
Median peer was paid$15K
This provider vs. median4.1×
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 | |
|---|---|---|---|
| 2018 | 113 | $4K | |
| 2024incomplete | 1,713 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 17% | 51 | 12 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 196 | 195 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | 12% | 73 | 25 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 139 | 139 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 593 | 233 | $6K |
| D0140 | Limited oral evaluation - problem focused | 9.6% | 117 | 117 | $6K |
| D1206 | Topical application of fluoride varnish | 8.6% | 180 | 180 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 7.7% | 258 | 250 | $5K |
| D0272 | Bitewings - two radiographic images | 4.0% | 107 | 106 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.9% | 68 | 67 | $2K |
| D1110 | Prophylaxis - adult | 2.4% | 29 | 29 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 15 | 15 | $336.00 |
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.