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

Keller, Trevor

Keller, Trevor was paid $539K by Medicaid between Jan 2018 and Feb 2019, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.

33Billing provider infoKELLER, TREVOR
CATSKILL, NY 12414
33aNPI1649360850assigned 10/16/2006
33bProvider typePediatric Dentist
28Total paid$539K
24GClaims10,570
24DCodes billed15
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers

Next to other Pediatric Dentist providers in New York

Rank by total paid#162 of 514
Median peer was paid$196K
This provider vs. median2.8×

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$20K$40K$60K2018201920202021202220232024
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
20189,144$470K
20191,426$69K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 21% 2,203 2,203 $111K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 15% 2,132 2,132 $79K
D1208 Topical application of fluoride, excluding varnish 11% 2,059 2,059 $61K
D2930 Prefabricated stainless steel crown - primary tooth 11% 260 203 $59K
D1351 Sealant - per tooth 9.2% 491 289 $50K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 5.9% 236 203 $32K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 5.2% 203 163 $28K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4.7% 240 201 $25K
D0272 Bitewings - two radiographic images 4.3% 1,247 1,246 $23K
D1110 Prophylaxis - adult 3.2% 240 240 $17K
D7140 Extraction, erupted tooth or exposed root 2.7% 124 110 $14K
D1206 Topical application of fluoride varnish 2.4% 365 365 $13K
3 more codes
D0330 Panoramic radiographic image 2.1% 278 $11K
D0150 Comprehensive oral evaluation - new or established patient 1.9% 315 $10K
D0274 Bitewings - four radiographic images 1.0% 177 $5K

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.