Dental
Kachi, Donovan
Kachi, Donovan was paid $4K by Medicaid between May 2023 and May 2023, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 28% of everything it billed.
33Billing provider infoKACHI, DONOVAN
YPSILANTI, MI 48197
YPSILANTI, MI 48197
33aNPI1770217093assigned 07/12/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims139
24DCodes billed7
24AFirst – last monthMay 2023 – May 2023
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#1,001 of 1,554
Median peer was paid$15K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2023 | 139 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 28% | 23 | 23 | $1K |
| D0274 | Bitewings - four radiographic images | 17% | 20 | 20 | $736.60 |
| D0330 | Panoramic radiographic image | 15% | 13 | 13 | $647.73 |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 14 | 14 | $628.74 |
| D0220 | Intraoral - periapical first radiographic image | 11% | 28 | 28 | $493.36 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.7% | 15 | 15 | $432.45 |
| D0230 | Intraoral - periapical each additional radiographic image | 5.9% | 26 | 23 | $263.90 |
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.