Hostetler, Kelly

Hostetler, Kelly was paid $35K by Medicaid between Oct 2020 and Nov 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 43% of everything it billed.

33Billing provider infoHOSTETLER, KELLY
UNIONTOWN, PA 15401

33aNPI1629041280assigned 02/13/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$35K

24GClaims1,470

24DCodes billed8

24AFirst – last monthOct 2020 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Pennsylvania

Rank by total paid#431 of 847

Median peer was paid$37K

This provider vs. median1.0×

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
2020	276	$8K
2021	744	$18K
2024incomplete	450	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	43%	504	504	$15K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	32%	648	648	$11K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	8.7%	53	41	$3K
D1208	Topical application of fluoride, excluding varnish	6.8%	129	129	$2K
D0274	Bitewings - four radiographic images	4.5%	67	67	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.3%	33	25	$2K
D0330	Panoramic radiographic image	<1%	12	12	$333.00
D0220	Intraoral - periapical first radiographic image	<1%	24	24	$173.00

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.