Sandefur, Krystina

Sandefur, Krystina was paid $3K by Medicaid between Sep 2021 and Oct 2021, across 5 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 37% of everything it billed.

33Billing provider infoSANDEFUR, KRYSTINA
PARIS, KY 40361

33aNPI1912490251assigned 06/12/2018

33bProvider typeGeneral Practice Dentistry

28Total paid$3K

24GClaims87

24DCodes billed5

24AFirst – last monthSep 2021 – Oct 2021

Compared with peers

Next to other General Practice Dentistry providers in Kentucky

Rank by total paid#421 of 462

Median peer was paid$106K

This provider vs. median0.0×

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
2021	87	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	37%	33	33	$1K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	32%	14	12	$868.50
D0330	Panoramic radiographic image	14%	13	13	$368.40
D0140	Limited oral evaluation - problem focused	13%	12	12	$363.00
D0220	Intraoral - periapical first radiographic image	3.4%	15	14	$92.56

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.