Kejbou, Dani

Kejbou, Dani was paid $11K by Medicaid between Jan 2018 and Jan 2020, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 56% of everything it billed.

33Billing provider infoKEJBOU, DANI
BLOOMFIELD HILLS, MI 48304

33aNPI1821185539assigned 10/06/2006

33bProvider typeDentist

28Total paid$11K

24GClaims407

24DCodes billed5

24AFirst – last monthJan 2018 – Jan 2020

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#563 of 1,033

Median peer was paid$15K

This provider vs. median0.7×

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
2018	163	$5K
2019	211	$6K
2020	33	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	56%	245	242	$6K
D1208	Topical application of fluoride, excluding varnish	18%	90	89	$2K
D1120	Dental cleaning, childProphylaxis - child	16%	45	45	$2K
D1110	Prophylaxis - adult	4.7%	14	12	$529.20
D0274	Bitewings - four radiographic images	4.2%	13	13	$477.00

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.