Dental
Kidz Korner Dentistry LLC
Kidz Korner Dentistry LLC was paid $10K by Medicaid between Jan 2018 and Jan 2024, across 4 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 35% of everything it billed.
33Billing provider infoKIDZ KORNER DENTISTRY LLC
POOLER, GA 31322
POOLER, GA 31322
33aNPI1881859163assigned 07/25/2008
33bProvider typePediatric Dentist
28Total paid$10K
24GClaims497
24DCodes billed4
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Pediatric Dentist providers in Georgia
Rank by total paid#31 of 38
Median peer was paid$58K
This provider vs. median0.2×
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 | 164 | $4K | |
| 2019 | 159 | $4K | |
| 2020 | 61 | $1K | |
| 2021 | 13 | $210.60 | |
| 2022 | 24 | $470.40 | |
| 2023 | 52 | $1K | |
| 2024incomplete | 24 | $486.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 35% | 225 | 225 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 128 | 128 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 70 | 70 | $2K |
| D0272 | Bitewings - two radiographic images | 13% | 74 | 74 | $1K |
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 officialHERRING, SHANA (DENTIST/OWNER)