Kennedy, Sean

Kennedy, Sean was paid $2K by Medicaid between Jan 2024 and Mar 2024, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.

33Billing provider infoKENNEDY, SEAN
SHAWNEE MISSION, KS 66216

33aNPI1699706804assigned 07/05/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$2K

24GClaims195

24DCodes billed6

24AFirst – last monthJan 2024 – Mar 2024

Compared with peers

Next to other General Practice Dentistry providers in Kansas

Rank by total paid#172 of 203

Median peer was paid$40K

This provider vs. median0.0×

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
2024incomplete	195	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	28%	14	13	$441.00
D1206	Topical application of fluoride varnish	25%	38	29	$396.90
D0150	Comprehensive oral evaluation - new or established patient	25%	18	12	$388.52
D0230	Intraoral - periapical each additional radiographic image	12%	47	29	$184.16
D0220	Intraoral - periapical first radiographic image	10%	39	29	$164.78
D0603		0%	39	31	$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.