Henderson, Kelli

Henderson, Kelli was paid $3K by Medicaid between Oct 2018 and Dec 2018, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 54% of everything it billed.

33Billing provider infoHENDERSON, KELLI
LAWRENCE, KS 66049

33aNPI1497961338assigned 05/15/2007

33bProvider typeDentist

28Total paid$3K

24GClaims153

24DCodes billed4

24AFirst – last monthOct 2018 – Dec 2018

Compared with peers

Next to other Dentist providers in Kansas

Rank by total paid#92 of 112

Median peer was paid$52K

This provider vs. median0.1×

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	153	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	54%	58	58	$2K
D1208	Topical application of fluoride, excluding varnish	32%	58	58	$986.00
D0220	Intraoral - periapical first radiographic image	9.3%	24	24	$288.00
D0230	Intraoral - periapical each additional radiographic image	4.2%	13	12	$130.00

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.