Dental
Everson, Kerri
Everson, Kerri was paid $139K by Medicaid between Jan 2018 and Jul 2018, across 16 billing codes. Its largest line is D0120, dental checkup, returning patient — 13% of everything it billed.
33Billing provider infoEVERSON, KERRI
KINGSTON, TN 37763
KINGSTON, TN 37763
33aNPI1699821496assigned 01/25/2007
33bProvider typeDentist
28Total paid$139K
24GClaims4,817
24DCodes billed16
24AFirst – last monthJan 2018 – Jul 2018
Compared with peers
Next to other Dentist providers in Tennessee
Rank by total paid#129 of 242
Median peer was paid$164K
This provider vs. median0.8×
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 | 4,817 | $139K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 785 | 763 | $18K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 558 | 546 | $17K |
| D1110 | Prophylaxis - adult | 10% | 341 | 331 | $14K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.5% | 224 | 158 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.3% | 198 | 123 | $13K |
| D1206 | Topical application of fluoride varnish | 8.9% | 651 | 637 | $12K |
| D0274 | Bitewings - four radiographic images | 7.4% | 405 | 392 | $10K |
| D0272 | Bitewings - two radiographic images | 5.6% | 457 | 450 | $8K |
| D0330 | Panoramic radiographic image | 5.5% | 191 | 186 | $8K |
| D1351 | Sealant - per tooth | 4.8% | 252 | 82 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.6% | 230 | 196 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 3.0% | 216 | 209 | $4K |
4 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.