Donohue, Kelly

Donohue, Kelly was paid $6K by Medicaid between Jan 2018 and Mar 2018, across 4 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 32% of everything it billed.

33Billing provider infoDONOHUE, KELLY
CARSON CITY, MI 48811

33aNPI1538468699assigned 03/15/2011

33bProvider typeDentist

28Total paid$6K

24GClaims175

24DCodes billed4

24AFirst – last monthJan 2018 – Mar 2018

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#674 of 1,033

Median peer was paid$15K

This provider vs. median0.4×

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	175	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2391	Resin-based composite - one surface, posterior, primary or permanent	32%	21	13	$2K
D1120	Dental cleaning, childProphylaxis - child	30%	52	52	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	20%	51	51	$1K
D1206	Topical application of fluoride varnish	18%	51	51	$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.