Dental
Kafle, Sumana
Kafle, Sumana was paid $1.40M by Medicaid between Jan 2018 and Sep 2023, across 23 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 27% of everything it billed.
33Billing provider infoKAFLE, SUMANA
SILVER SPRING, MD 20901
SILVER SPRING, MD 20901
33aNPI1538453436assigned 06/08/2011
33bProvider typePediatric Dentist
28Total paid$1.40M
24GClaims24,424
24DCodes billed23
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Pediatric Dentist providers in Maryland
Rank by total paid#51 of 150
Median peer was paid$536K
This provider vs. median2.6×
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 | 3,569 | $243K | |
| 2019 | 4,352 | $257K | |
| 2020 | 4,453 | $280K | |
| 2021 | 6,103 | $331K | |
| 2022 | 4,884 | $236K | |
| 2023 | 1,063 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 27% | 2,542 | 845 | $376K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 26% | 3,069 | 1,086 | $364K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.4% | 2,787 | 2,743 | $118K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.8% | 871 | 434 | $80K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.9% | 2,351 | 2,313 | $68K |
| D1351 | Sealant - per tooth | 4.8% | 2,013 | 626 | $67K |
| D7140 | Extraction, erupted tooth or exposed root | 4.0% | 548 | 277 | $56K |
| D1208 | Topical application of fluoride, excluding varnish | 3.4% | 2,101 | 2,081 | $48K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.5% | 1,951 | 1,699 | $35K |
| D2335 | 2.5% | 237 | 99 | $35K | |
| D0272 | Bitewings - two radiographic images | 2.1% | 1,988 | 1,956 | $30K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.9% | 166 | 41 | $26K |
11 more codes
| D1206 | Topical application of fluoride varnish | 1.7% | 1,002 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 325 | $17K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 361 | $16K |
| D2330 | <1% | 132 | $11K | |
| D1330 | <1% | 1,413 | $8K | |
| D0274 | Bitewings - four radiographic images | <1% | 265 | $6K |
| D0330 | Panoramic radiographic image | <1% | 116 | $5K |
| D3120 | <1% | 100 | $4K | |
| D2332 | <1% | 20 | $2K | |
| D1110 | Prophylaxis - adult | <1% | 39 | $2K |
| D0240 | <1% | 27 | $342.00 |
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.