Clinic
Kenner Family Dentistry
Kenner Family Dentistry was paid $182K by Medicaid between Apr 2023 and Dec 2024, across 18 billing codes. Its largest line is D1351, Sealant - per tooth — 17% of everything it billed.
33Billing provider infoKENNER FAMILY DENTISTRY
DEVILS LAKE, ND 58301
DEVILS LAKE, ND 58301
33aNPI1568146892assigned 06/15/2023
33bProvider typeDental Clinic/Center
28Total paid$182K
24GClaims6,700
24DCodes billed18
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in North Dakota
Rank by total paid#9 of 45
Median peer was paid$17K
This provider vs. median10×
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 | |
|---|---|---|---|
| 2023 | 3,671 | $78K | |
| 2024incomplete | 3,029 | $104K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 17% | 1,462 | 213 | $31K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 297 | 120 | $26K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 12% | 942 | 561 | $21K |
| D1206 | Topical application of fluoride varnish | 9.8% | 989 | 657 | $18K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.7% | 812 | 570 | $18K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.6% | 627 | 418 | $17K |
| D1110 | Prophylaxis - adult | 6.7% | 318 | 216 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.9% | 207 | 41 | $7K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.0% | 62 | 29 | $5K |
| D0274 | Bitewings - four radiographic images | 2.7% | 144 | 114 | $5K |
| D1353 | 2.1% | 95 | 26 | $4K | |
| D2140 | 2.1% | 96 | 29 | $4K |
6 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 242 | $4K |
| D0272 | Bitewings - two radiographic images | 1.3% | 131 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 105 | $2K |
| D2160 | 1.1% | 17 | $2K | |
| D0330 | Panoramic radiographic image | 1.0% | 33 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 121 | $2K |
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 officialCAVANAUGH, SARAH (DENTIST)