Green, Kala

Green, Kala was paid $25K by Medicaid between Jun 2024 and Nov 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.

33Billing provider infoGREEN, KALA
LAWRENCEVILLE, GA 30044

33aNPI1841641701assigned 06/22/2016

33bProvider typeGeneral Practice Dentistry

28Total paid$25K

24GClaims586

24DCodes billed9

24AFirst – last monthJun 2024 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Georgia

Rank by total paid#35 of 63

Median peer was paid$30K

This provider vs. median0.8×

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
2024incomplete	586	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	32%	141	140	$8K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	22%	96	64	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	125	124	$3K
D0210	Intraoral - complete series of radiographic images	11%	48	48	$3K
D0150	Comprehensive oral evaluation - new or established patient	7.8%	63	63	$2K
D0274	Bitewings - four radiographic images	6.1%	52	51	$2K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	4.2%	15	13	$1K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2.3%	14	12	$598.40
D0220	Intraoral - periapical first radiographic image	1.3%	32	32	$324.00

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.