Kiguradze, Ketevan

Kiguradze, Ketevan was paid $100K by Medicaid between Jan 2018 and Oct 2022, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 45% of everything it billed.

33Billing provider infoKIGURADZE, KETEVAN
DARIEN, CT 06820

33aNPI1588803407assigned 02/17/2009

33bProvider typeDentist

28Total paid$100K

24GClaims2,852

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2022

Compared with peers

Next to other Dentist providers in Connecticut

Rank by total paid#64 of 153

Median peer was paid$41K

This provider vs. median2.4×

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	673	$24K
2019	457	$16K
2020	568	$20K
2021	712	$25K
2022	442	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	45%	1,023	1,009	$45K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	28%	848	836	$28K
D1208	Topical application of fluoride, excluding varnish	27%	967	954	$27K
D0272	Bitewings - two radiographic images	<1%	14	14	$439.04

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.