Dental
Kim, Kelly
Kim, Kelly was paid $1K by Medicaid between Jul 2021 and May 2023, across 5 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 42% of everything it billed.
33Billing provider infoKIM, KELLY
AUBREY, TX 76227
AUBREY, TX 76227
33aNPI1760816607assigned 08/28/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$1K
24GClaims168
24DCodes billed5
24AFirst – last monthJul 2021 – May 2023
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#2,367 of 2,774
Median peer was paid$43K
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 | |
|---|---|---|---|
| 2021 | 54 | $352.80 | |
| 2022 | 101 | $942.29 | |
| 2023 | 13 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 42% | 38 | 38 | $543.90 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 12 | 12 | $346.20 |
| D0230 | Intraoral - periapical each additional radiographic image | 19% | 21 | 13 | $241.71 |
| D0220 | Intraoral - periapical first radiographic image | 13% | 13 | 13 | $163.28 |
| D0603 | 0% | 84 | 84 | $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.