Dental
Hayes, Kelsey
Hayes, Kelsey was paid $810K by Medicaid between Jan 2018 and Mar 2020, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoHAYES, KELSEY
SPRINGFIELD, MO 65810
SPRINGFIELD, MO 65810
33aNPI1588194369assigned 06/14/2017
33bProvider typeDentist
28Total paid$810K
24GClaims18,303
24DCodes billed19
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Dentist providers in Missouri
Rank by total paid#24 of 284
Median peer was paid$109K
This provider vs. median7.5×
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 | |
|---|---|---|---|
| 2018 | 7,225 | $382K | |
| 2019 | 9,604 | $378K | |
| 2020 | 1,474 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 1,121 | 653 | $143K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.4% | 749 | 471 | $76K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.5% | 1,718 | 1,640 | $69K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.1% | 2,536 | 1,632 | $65K |
| D0330 | Panoramic radiographic image | 7.8% | 870 | 826 | $63K |
| D1206 | Topical application of fluoride varnish | 7.0% | 2,328 | 2,235 | $57K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.7% | 1,597 | 1,522 | $54K |
| D1110 | Prophylaxis - adult | 5.5% | 765 | 742 | $44K |
| D0274 | Bitewings - four radiographic images | 5.4% | 1,047 | 1,018 | $44K |
| D1351 | Sealant - per tooth | 5.2% | 1,318 | 370 | $42K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 837 | 810 | $39K |
| D0220 | Intraoral - periapical first radiographic image | 4.1% | 1,860 | 1,835 | $34K |
7 more codes
| D0272 | Bitewings - two radiographic images | 3.5% | 880 | $28K |
| D7140 | Extraction, erupted tooth or exposed root | 2.7% | 317 | $22K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.4% | 94 | $19K |
| D0140 | Limited oral evaluation - problem focused | <1% | 116 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 79 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 38 | $837.00 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 33 | $727.00 |
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.