Weaver, Kelly

Weaver, Kelly was paid $23K by Medicaid between Jul 2022 and Oct 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 74% of everything it billed.

33Billing provider infoWEAVER, KELLY
BLACKFOOT, ID 83221

33aNPI1578884235assigned 06/17/2010

33bProvider typeDentist

28Total paid$23K

24GClaims568

24DCodes billed8

24AFirst – last monthJul 2022 – Oct 2024

Compared with peers

Next to other Dentist providers in Idaho

Rank by total paid#37 of 89

Median peer was paid$16K

This provider vs. median1.5×

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
2022	160	$4K
2023	191	$7K
2024incomplete	217	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	74%	186	185	$17K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	12%	32	17	$3K
D0140	Limited oral evaluation - problem focused	10%	133	131	$2K
D1120	Dental cleaning, childProphylaxis - child	2.8%	13	13	$633.01
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	116	115	$106.75
D0274	Bitewings - four radiographic images	<1%	59	59	$36.80
D1208	Topical application of fluoride, excluding varnish	0%	13	13	$0.00
D1206	Topical application of fluoride varnish	0%	16	16	$0.00

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.