Dental
Kachurak, Jaclyn
Kachurak, Jaclyn was paid $1.05M by Medicaid between Oct 2020 and Jan 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.
33Billing provider infoKACHURAK, JACLYN
CRESTVIEW HILLS, KY 41017
CRESTVIEW HILLS, KY 41017
33aNPI1720584410assigned 04/02/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$1.05M
24GClaims35,854
24DCodes billed18
24AFirst – last monthOct 2020 – Jan 2024
Compared with peers
Next to other General Practice Dentistry providers in Kentucky
Rank by total paid#28 of 462
Median peer was paid$106K
This provider vs. median9.9×
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 | |
|---|---|---|---|
| 2020 | 2,013 | $57K | |
| 2021 | 10,729 | $307K | |
| 2022 | 10,894 | $311K | |
| 2023 | 11,939 | $372K | |
| 2024incomplete | 279 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 5,171 | 5,107 | $285K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 4,021 | 3,969 | $118K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.6% | 1,543 | 1,002 | $101K |
| D1208 | Topical application of fluoride, excluding varnish | 8.4% | 5,488 | 5,424 | $88K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.8% | 551 | 279 | $62K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.7% | 1,986 | 1,772 | $60K |
| D7140 | Extraction, erupted tooth or exposed root | 5.5% | 1,041 | 602 | $58K |
| D1351 | Sealant - per tooth | 5.2% | 2,518 | 745 | $55K |
| D0272 | Bitewings - two radiographic images | 3.8% | 2,227 | 2,197 | $40K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.5% | 1,417 | 1,405 | $37K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 3,529 | 3,460 | $37K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.4% | 4,694 | 2,918 | $36K |
6 more codes
| D0330 | Panoramic radiographic image | 3.3% | 685 | $35K |
| D0274 | Bitewings - four radiographic images | 1.2% | 348 | $12K |
| D1110 | Prophylaxis - adult | 1.1% | 200 | $11K |
| D0140 | Limited oral evaluation - problem focused | <1% | 274 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 117 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 44 | $3K |
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.