Dental
Martin, Courtnee
Martin, Courtnee was paid $236K by Medicaid between Jan 2018 and Jan 2019, across 18 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 29% of everything it billed.
33Billing provider infoMARTIN, COURTNEE
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
33aNPI1669674313assigned 06/04/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$236K
24GClaims5,940
24DCodes billed18
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers
Next to other General Practice Dentistry providers in Missouri
Rank by total paid#73 of 260
Median peer was paid$78K
This provider vs. median3.0×
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 | 5,218 | $208K | |
| 2019 | 722 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 29% | 604 | 169 | $70K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 16% | 141 | 130 | $38K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.6% | 810 | 780 | $23K |
| D1206 | Topical application of fluoride varnish | 6.6% | 967 | 918 | $16K |
| D0272 | Bitewings - two radiographic images | 6.4% | 817 | 744 | $15K |
| D0240 | 5.4% | 750 | 376 | $13K | |
| D7140 | Extraction, erupted tooth or exposed root | 5.0% | 148 | 68 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.6% | 554 | 534 | $11K |
| D9222 | 3.8% | 119 | 116 | $9K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 261 | 251 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.4% | 80 | 51 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 78 | 43 | $5K |
6 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.