Dental
Kennedy, Kevin
Kennedy, Kevin was paid $1.77M by Medicaid between Apr 2019 and Dec 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoKENNEDY, KEVIN
CLARKSVILLE, TN 37043
CLARKSVILLE, TN 37043
33aNPI1629399647assigned 06/14/2010
33bProvider typePediatric Dentist
28Total paid$1.77M
24GClaims54,530
24DCodes billed22
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#42 of 112
Median peer was paid$1.03M
This provider vs. median1.7×
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 | 1,684 | $46K | |
| 2020 | 5,658 | $151K | |
| 2021 | 10,134 | $341K | |
| 2022 | 13,098 | $434K | |
| 2023 | 14,198 | $479K | |
| 2024incomplete | 9,758 | $321K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 9,253 | 9,123 | $313K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 16% | 2,707 | 977 | $289K |
| D1206 | Topical application of fluoride varnish | 12% | 9,950 | 9,811 | $212K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 7,454 | 7,372 | $184K |
| D7140 | Extraction, erupted tooth or exposed root | 6.3% | 1,864 | 941 | $111K |
| D1351 | Sealant - per tooth | 4.8% | 2,803 | 794 | $84K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.1% | 1,086 | 547 | $73K |
| D0330 | Panoramic radiographic image | 3.9% | 1,679 | 1,656 | $69K |
| D9248 | 3.9% | 810 | 746 | $68K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.4% | 1,014 | 590 | $60K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 2,099 | 2,056 | $58K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.8% | 1,809 | 1,675 | $50K |
10 more codes
| D0272 | Bitewings - two radiographic images | 2.4% | 2,580 | $43K |
| D1110 | Prophylaxis - adult | 2.3% | 998 | $41K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 3,450 | $31K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 1,357 | $27K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 1,944 | $23K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 206 | $14K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 521 | $12K |
| D0274 | Bitewings - four radiographic images | <1% | 283 | $7K |
| D7962 | <1% | 12 | $2K | |
| D1999 | 0% | 651 | $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.