Dental
Freeman, Keven
Freeman, Keven was paid $88K by Medicaid between Jan 2018 and Jul 2020, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.
33Billing provider infoFREEMAN, KEVEN
CALDWELL, ID 83605
CALDWELL, ID 83605
33aNPI1629451109assigned 07/02/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$88K
24GClaims4,416
24DCodes billed14
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other General Practice Dentistry providers in Idaho
Rank by total paid#46 of 173
Median peer was paid$22K
This provider vs. median3.9×
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 | 2,021 | $43K | |
| 2019 | 1,760 | $34K | |
| 2020 | 635 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 47% | 646 | 646 | $41K |
| D0140 | Limited oral evaluation - problem focused | 14% | 632 | 626 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 140 | 140 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 148 | 103 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 9.4% | 71 | 71 | $8K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.3% | 52 | 25 | $5K |
| D0330 | Panoramic radiographic image | 1.9% | 88 | 88 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 326 | 326 | $429.57 |
| D0274 | Bitewings - four radiographic images | <1% | 296 | 296 | $140.90 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 672 | 672 | $96.36 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 632 | 632 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 169 | 157 | $0.00 |
2 more codes
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.