Dental
Coastal Kids Dental
Coastal Kids Dental was paid $2.22M by Medicaid between Jan 2018 and May 2019, across 25 billing codes. Its largest line is D1120, dental cleaning, child — 13% of everything it billed.
33Billing provider infoCOASTAL KIDS DENTAL
LOUISVILLE, KY 40205
LOUISVILLE, KY 40205
33aNPI1801036637assigned 03/06/2009
33bProvider typePediatric Dentist
28Total paid$2.22M
24GClaims63,312
24DCodes billed25
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other Pediatric Dentist providers in Kentucky
Rank by total paid#23 of 134
Median peer was paid$467K
This provider vs. median4.8×
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 | 63,080 | $2.22M | |
| 2019 | 232 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 8,359 | 8,359 | $290K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 2,037 | 597 | $252K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.3% | 2,045 | 1,460 | $207K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.1% | 8,861 | 8,861 | $203K |
| D1206 | Topical application of fluoride varnish | 7.7% | 10,626 | 10,626 | $172K |
| D7140 | Extraction, erupted tooth or exposed root | 6.2% | 1,580 | 747 | $137K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.9% | 1,680 | 1,158 | $130K |
| D1110 | Prophylaxis - adult | 5.1% | 2,275 | 2,275 | $114K |
| D0272 | Bitewings - two radiographic images | 5.0% | 5,891 | 5,891 | $111K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.7% | 3,246 | 3,154 | $104K |
| D7240 | Removal of impacted tooth - completely bony | 4.5% | 356 | 108 | $99K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 5,162 | 5,141 | $66K |
13 more codes
| D0330 | Panoramic radiographic image | 2.8% | 1,233 | $61K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 1,454 | $59K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 5,240 | $54K |
| D9248 | 1.6% | 552 | $36K | |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 865 | $33K |
| D9420 | 1.1% | 278 | $24K | |
| D1351 | Sealant - per tooth | <1% | 620 | $18K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 423 | $15K |
| D9239 | <1% | 158 | $12K | |
| D9243 | <1% | 156 | $12K | |
| D7230 | <1% | 25 | $6K | |
| D0274 | Bitewings - four radiographic images | <1% | 148 | $4K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 42 | $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.
From NPPES
Who's on the registration
Authorized officialDRIGGERS, ISABEL (DENTIST/OWNER)