Dental
Kennedy, Debra
Kennedy, Debra was paid $116K by Medicaid between Jan 2018 and Feb 2020, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoKENNEDY, DEBRA
BERKLEY, MI 48072
BERKLEY, MI 48072
33aNPI1659454114assigned 10/20/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$116K
24GClaims3,213
24DCodes billed12
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#339 of 1,554
Median peer was paid$15K
This provider vs. median8.0×
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 | 2,989 | $114K | |
| 2019 | 24 | $98.38 | |
| 2020 | 200 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 592 | 592 | $23K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 169 | 87 | $21K |
| D1206 | Topical application of fluoride varnish | 12% | 603 | 603 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 303 | 303 | $13K |
| D1351 | Sealant - per tooth | 9.4% | 376 | 133 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.7% | 106 | 65 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.0% | 296 | 296 | $8K |
| D0274 | Bitewings - four radiographic images | 6.3% | 202 | 202 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 202 | 202 | $3K |
| D0272 | Bitewings - two radiographic images | 2.6% | 141 | 141 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 209 | 183 | $2K |
| D1110 | Prophylaxis - adult | <1% | 14 | 14 | $756.00 |
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.