Agency
Kemple Memorial Children's Dental Clinic
Kemple Memorial Children's Dental Clinic was paid $43K by Medicaid between Jan 2018 and Feb 2020, across 6 billing codes. Its largest line is D0191, — 38% of everything it billed.
33Billing provider infoKEMPLE MEMORIAL CHILDREN'S DENTAL CLINIC
BEND, OR 97703
BEND, OR 97703
33aNPI1538516265assigned 05/23/2016
33bProvider typeVoluntary or Charitable Agency
28Total paid$43K
24GClaims5,420
24DCodes billed6
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Voluntary or Charitable Agency providers in Oregon
Rank by total paid#4 of 6
Median peer was paid$43K
This provider vs. median1.0×
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 | 4,118 | $25K | |
| 2019 | 1,247 | $17K | |
| 2020 | 55 | $589.23 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0191 | 38% | 1,695 | 1,496 | $16K | |
| D1351 | Sealant - per tooth | 35% | 2,273 | 461 | $15K |
| D0601 | 19% | 1,047 | 971 | $8K | |
| D1206 | Topical application of fluoride varnish | 4.2% | 203 | 197 | $2K |
| D0602 | 3.8% | 190 | 186 | $2K | |
| D0603 | <1% | 12 | 12 | $100.00 |
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.
From NPPES
Who's on the registration
Authorized officialSMITH, DEBBI (PROGRAM MANAGER)