Dental
Kentucky River Dentistry, PSC
Kentucky River Dentistry, PSC was paid $267K by Medicaid between Feb 2022 and Oct 2024, across 14 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoKENTUCKY RIVER DENTISTRY, PSC
IRVINE, KY 40336
IRVINE, KY 40336
33aNPI1821131954assigned 02/15/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$267K
24GClaims6,588
24DCodes billed14
24AFirst – last monthFeb 2022 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Kentucky
Rank by total paid#141 of 462
Median peer was paid$106K
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2022 | 1,608 | $66K | |
| 2023 | 2,902 | $118K | |
| 2024incomplete | 2,078 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20% | 827 | 552 | $53K |
| D1110 | Prophylaxis - adult | 18% | 863 | 856 | $47K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 11% | 416 | 305 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 860 | 850 | $27K |
| D0274 | Bitewings - four radiographic images | 7.3% | 605 | 598 | $19K |
| D0330 | Panoramic radiographic image | 7.2% | 306 | 303 | $19K |
| D2394 | 6.6% | 231 | 179 | $18K | |
| D9110 | 6.5% | 290 | 281 | $17K | |
| D1208 | Topical application of fluoride, excluding varnish | 3.4% | 528 | 521 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.0% | 294 | 292 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 768 | 742 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 117 | 93 | $6K |
2 more codes
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 officialJORDAN, JANE (DENTIST)