Dental
Ketteman, Daniel
Ketteman, Daniel was paid $1.07M by Medicaid between Jan 2024 and Dec 2024, across 33 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 17% of everything it billed.
33Billing provider infoKETTEMAN, DANIEL
QUINCY, IL 62305
QUINCY, IL 62305
33aNPI1780858936assigned 04/18/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$1.07M
24GClaims12,772
24DCodes billed33
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#118 of 1,017
Median peer was paid$123K
This provider vs. median8.7×
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 | 12,772 | $1.07M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 17% | 1,113 | 690 | $176K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.7% | 537 | 486 | $83K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 7.7% | 109 | 107 | $82K |
| D0140 | Limited oral evaluation - problem focused | 6.4% | 1,249 | 1,240 | $69K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.1% | 948 | 869 | $65K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.8% | 494 | 427 | $62K |
| D0330 | Panoramic radiographic image | 4.6% | 619 | 618 | $49K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.2% | 1,185 | 1,185 | $44K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.0% | 829 | 829 | $42K |
| D2740 | Crown - porcelain/ceramic | 3.4% | 49 | 47 | $36K |
| D2950 | 3.2% | 166 | 159 | $34K | |
| D0274 | Bitewings - four radiographic images | 2.7% | 606 | 606 | $28K |
21 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 1,291 | $27K |
| D1206 | Topical application of fluoride varnish | 2.5% | 724 | $26K |
| D3310 | 2.5% | 48 | $26K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.4% | 142 | $26K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 405 | $24K |
| D0210 | Intraoral - complete series of radiographic images | 2.1% | 262 | $23K |
| D1110 | Prophylaxis - adult | 1.8% | 289 | $20K |
| D5110 | 1.8% | 19 | $19K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.4% | 39 | $15K |
| D2331 | 1.2% | 105 | $13K | |
| D5120 | 1.2% | 12 | $12K | |
| D0272 | Bitewings - two radiographic images | <1% | 337 | $11K |
| D0270 | <1% | 467 | $10K | |
| D1351 | Sealant - per tooth | <1% | 132 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 348 | $8K |
| D2330 | <1% | 70 | $8K | |
| D4341 | <1% | 48 | $7K | |
| D4910 | <1% | 73 | $6K | |
| D2335 | <1% | 18 | $4K | |
| D2332 | <1% | 13 | $2K | |
| D9630 | <1% | 26 | $608.50 |
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.