Dental
KDP PLLC
KDP PLLC was paid $2.16M by Medicaid between Aug 2019 and Dec 2024, across 23 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoKDP PLLC
KINGSTON, TN 37763
KINGSTON, TN 37763
33aNPI1699331421assigned 05/16/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$2.16M
24GClaims76,246
24DCodes billed23
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#22 of 336
Median peer was paid$123K
This provider vs. median18×
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 | 7,389 | $191K | |
| 2020 | 18,233 | $488K | |
| 2021 | 18,264 | $498K | |
| 2022 | 16,098 | $460K | |
| 2023 | 11,897 | $394K | |
| 2024incomplete | 4,365 | $127K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20% | 5,972 | 3,279 | $428K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 10,830 | 10,723 | $265K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 11,305 | 11,176 | $234K |
| D1110 | Prophylaxis - adult | 10% | 5,003 | 4,939 | $217K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 6,421 | 6,363 | $216K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.6% | 3,479 | 2,151 | $207K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.1% | 1,334 | 856 | $111K |
| D0274 | Bitewings - four radiographic images | 5.0% | 4,062 | 4,011 | $108K |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 7,542 | 7,404 | $94K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.1% | 9,856 | 5,957 | $88K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.1% | 397 | 139 | $45K |
| D0272 | Bitewings - two radiographic images | 2.0% | 2,447 | 2,421 | $43K |
11 more codes
| D1354 | 1.4% | 4,562 | $30K | |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 1,289 | $30K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 860 | $25K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 81 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 134 | $4K |
| D2332 | <1% | 40 | $3K | |
| D1351 | Sealant - per tooth | <1% | 101 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 74 | $2K |
| D4346 | <1% | 12 | $526.56 | |
| D1206 | Topical application of fluoride varnish | <1% | 17 | $383.35 |
| D1999 | 0% | 428 | $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.
From NPPES
Who's on the registration
Authorized officialBERY, RAJIV (DENTIST)