Dental
Deloria, Kevin
Deloria, Kevin was paid $382K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.
33Billing provider infoDELORIA, KEVIN
MARTINSVILLE, IN 46151
MARTINSVILLE, IN 46151
33aNPI1487733853assigned 11/04/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$382K
24GClaims9,746
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#148 of 723
Median peer was paid$60K
This provider vs. median6.4×
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 | 293 | $894.72 | |
| 2019 | 1,724 | $65K | |
| 2020 | 1,088 | $39K | |
| 2021 | 1,017 | $36K | |
| 2022 | 1,506 | $56K | |
| 2023 | 2,418 | $103K | |
| 2024incomplete | 1,700 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 32% | 2,559 | 2,380 | $124K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 2,103 | 1,963 | $49K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 646 | 371 | $48K |
| D0274 | Bitewings - four radiographic images | 11% | 1,246 | 1,155 | $44K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.3% | 587 | 308 | $36K |
| D1206 | Topical application of fluoride varnish | 6.8% | 1,205 | 1,108 | $26K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.0% | 621 | 563 | $23K |
| D0210 | Intraoral - complete series of radiographic images | 2.5% | 186 | 169 | $10K |
| D0140 | Limited oral evaluation - problem focused | 2.4% | 217 | 206 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.3% | 178 | 153 | $5K |
| D0330 | Panoramic radiographic image | <1% | 70 | 67 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 31 | 24 | $3K |
1 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 97 | $1K |
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.