KENNEDY, BRUCE
NPI: 1871517078
· CRETE, NE 68333
· General Practice Dentistry
· NPI assigned 07/27/2006
$150K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
615 |
$13K |
| 2019 |
501 |
$11K |
| 2020 |
613 |
$13K |
| 2021 |
1,334 |
$27K |
| 2022 |
1,815 |
$37K |
| 2023 |
2,072 |
$50K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
1,913 |
1,883 |
$49K |
| D0120 |
Periodic oral evaluation - established patient |
1,593 |
1,592 |
$37K |
| D1120 |
Prophylaxis - child |
1,039 |
1,038 |
$29K |
| D0272 |
Bitewings - two radiographic images |
894 |
893 |
$13K |
| D1999 |
|
1,097 |
1,047 |
$11K |
| D1110 |
Prophylaxis - adult |
212 |
212 |
$8K |
| D0274 |
Bitewings - four radiographic images |
144 |
144 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$396.90 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$308.28 |
| D0220 |
Intraoral - periapical first radiographic image |
18 |
17 |
$126.00 |
| D9986 |
|
12 |
12 |
$0.00 |