Dental
Fulton, Kimberly
Fulton, Kimberly was paid $52.00 by Medicaid between Jan 2018 and Dec 2018, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.
33Billing provider infoFULTON, KIMBERLY
SURPRISE, AZ 85374
SURPRISE, AZ 85374
33aNPI1528092863assigned 07/11/2006
33bProvider typeDentist
28Total paid$52.00
24GClaims497
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Dentist providers in Arizona
Rank by total paid#298 of 468
Median peer was paid$686.85
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 | 497 | $52.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 100% | 433 | 418 | $52.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 44 | 26 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 20 | 19 | $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.