Dental
Fallert, Kevin
Fallert, Kevin was paid $368K by Medicaid between Jan 2018 and Jul 2020, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoFALLERT, KEVIN
CAPE GIRARDEAU, MO 63703
CAPE GIRARDEAU, MO 63703
33aNPI1518126689assigned 06/04/2008
33bProvider typeDentist
28Total paid$368K
24GClaims8,728
24DCodes billed16
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Dentist providers in Missouri
Rank by total paid#70 of 284
Median peer was paid$109K
This provider vs. median3.4×
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 | 3,531 | $176K | |
| 2019 | 4,146 | $156K | |
| 2020 | 1,051 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 1,333 | 1,295 | $55K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 1,684 | 1,640 | $53K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 370 | 292 | $53K |
| D1206 | Topical application of fluoride varnish | 14% | 1,995 | 1,949 | $52K |
| D1110 | Prophylaxis - adult | 11% | 739 | 730 | $40K |
| D0330 | Panoramic radiographic image | 7.9% | 437 | 430 | $29K |
| D0272 | Bitewings - two radiographic images | 5.7% | 741 | 725 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 297 | 291 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.9% | 131 | 94 | $14K |
| D0274 | Bitewings - four radiographic images | 3.9% | 358 | 353 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 379 | 371 | $7K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.0% | 17 | 13 | $4K |
4 more codes
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.