Dental
Davies, Kendell
Davies, Kendell was paid $4K by Medicaid between Feb 2019 and Jun 2022, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.
33Billing provider infoDAVIES, KENDELL
AMERICAN FORK, UT 84003
AMERICAN FORK, UT 84003
33aNPI1649364670assigned 10/03/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims73
24DCodes billed3
24AFirst – last monthFeb 2019 – Jun 2022
Compared with peers
Next to other General Practice Dentistry providers in Utah
Rank by total paid#154 of 225
Median peer was paid$21K
This provider vs. median0.2×
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 | 25 | $1K | |
| 2020 | 12 | $1K | |
| 2021 | 24 | $907.16 | |
| 2022 | 12 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 100% | 48 | 48 | $4K |
| D1206 | Topical application of fluoride varnish | 0% | 12 | 12 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 13 | 13 | $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.