Dental
Kingma, Brett
Kingma, Brett was paid $845K by Medicaid between Jan 2018 and Nov 2019, across 23 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 38% of everything it billed.
33Billing provider infoKINGMA, BRETT
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
33aNPI1669864732assigned 02/26/2015
33bProvider typePediatric Dentist
28Total paid$845K
24GClaims11,631
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other Pediatric Dentist providers in Michigan
Rank by total paid#59 of 153
Median peer was paid$464K
This provider vs. median1.8×
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
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 | 6,650 | $444K | |
| 2019 | 4,981 | $401K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 38% | 1,629 | 421 | $324K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 8.2% | 539 | 203 | $69K |
| D7140 | Extraction, erupted tooth or exposed root | 7.8% | 756 | 273 | $66K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.8% | 1,414 | 1,413 | $57K |
| D2933 | 6.2% | 228 | 67 | $52K | |
| D1206 | Topical application of fluoride varnish | 4.9% | 1,526 | 1,524 | $42K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.1% | 295 | 160 | $35K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.8% | 1,010 | 1,009 | $32K |
| D9420 | 3.7% | 216 | 214 | $31K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 340 | 339 | $21K |
| D1351 | Sealant - per tooth | 2.2% | 599 | 211 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 205 | 139 | $18K |
11 more codes
| D0240 | 2.0% | 825 | $17K | |
| D0272 | Bitewings - two radiographic images | 1.8% | 577 | $15K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 164 | $10K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 417 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 569 | $8K |
| D9310 | <1% | 84 | $6K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 116 | $5K |
| D1510 | <1% | 19 | $4K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 58 | $4K |
| D2330 | <1% | 19 | $2K | |
| D9248 | <1% | 26 | $1K |
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.