Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Statesville Amy Kinlaw PLLC

Statesville Amy Kinlaw PLLC was paid $274K by Medicaid between Mar 2022 and Dec 2024, across 20 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 23% of everything it billed.

33Billing provider infoSTATESVILLE AMY KINLAW PLLC
STATESVILLE, NC 28677
33aNPI1629730130assigned 10/12/2021
33bProvider typePediatric Dentist
28Total paid$274K
24GClaims9,297
24DCodes billed20
24AFirst – last monthMar 2022 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in North Carolina

Rank by total paid#130 of 195
Median peer was paid$776K
This provider vs. median0.4×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20222,180$60K
20232,938$79K
2024incomplete4,179$135K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 23% 593 311 $64K
D1120 Dental cleaning, childProphylaxis - child 13% 1,324 1,271 $35K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 12% 731 647 $33K
D0150 Comprehensive oral evaluation - new or established patient 8.8% 566 524 $24K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 8.3% 883 874 $23K
D0230 Intraoral - periapical each additional radiographic image 7.6% 1,970 574 $21K
D1206 Topical application of fluoride varnish 5.3% 975 918 $15K
D2930 Prefabricated stainless steel crown - primary tooth 4.3% 83 15 $12K
D0220 Intraoral - periapical first radiographic image 4.2% 798 735 $11K
D1351 Sealant - per tooth 3.7% 394 120 $10K
D1208 Topical application of fluoride, excluding varnish 3.1% 501 497 $9K
D1110 Prophylaxis - adult 1.6% 117 113 $4K
8 more codes
D0272 Bitewings - two radiographic images 1.1% 178 $3K
D0140 Limited oral evaluation - problem focused 1.1% 81 $3K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 20 $3K
D9420 <1% 14 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 22 $2K
D7140 Extraction, erupted tooth or exposed root <1% 20 $1K
D0330 Panoramic radiographic image <1% 15 $743.40
D0145 Oral evaluation for a patient under three years of age <1% 12 $456.12

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.

From NPPES

Who's on the registration

Authorized officialMANCHOLA, KAROL (REGIONAL MANAGER)
Same official

Other billing entities under MANCHOLA, KAROL

Full network →
ProviderLocationPaid
R. Corey Snow, DMD and Jason K. Snow, DDS, PLLCCharlotte, NC$10.01M
Snow & Snow DDS PLLCCharlotte, NC$4.29M
Kinlaw PLLCMount Airy, NC$3.89M
Dennis Garth Stoddard DDS PLLCCharlotte, NC$2.59M
Zohaib Munaf DMD MBS PLLCIndian Trail, NC$1.86M
Amy Ann Kinlaw DMD PLLCTaylorsville, NC$974K
Mclaren DDS Mint Hill PLLCMint Hill, NC$695K
Scott Mclaren DDS PLLCMooresville, NC$414K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.