Dental
Dolan, Kenneth
Dolan, Kenneth was paid $43K by Medicaid between Oct 2019 and Jun 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 65% of everything it billed.
33Billing provider infoDOLAN, KENNETH
CHARLESTON, WV 25304
CHARLESTON, WV 25304
33aNPI1568637528assigned 04/29/2008
33bProvider typeDentist
28Total paid$43K
24GClaims1,060
24DCodes billed6
24AFirst – last monthOct 2019 – Jun 2024
Compared with peers
Next to other Dentist providers in West Virginia
Rank by total paid#59 of 112
Median peer was paid$60K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2019 | 14 | $284.00 | |
| 2020 | 20 | $959.48 | |
| 2021 | 29 | $1K | |
| 2022 | 310 | $13K | |
| 2023 | 544 | $22K | |
| 2024incomplete | 143 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 65% | 555 | 515 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 270 | 259 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.0% | 101 | 95 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.9% | 32 | 24 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 3.3% | 69 | 66 | $1K |
| D0274 | Bitewings - four radiographic images | 2.4% | 33 | 32 | $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.