Dental
Menegotto, Kelsey
Menegotto, Kelsey was paid $1.30M by Medicaid between Aug 2018 and Dec 2024, across 12 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 44% of everything it billed.
33Billing provider infoMENEGOTTO, KELSEY
INDIANAPOLIS, IN 46224
INDIANAPOLIS, IN 46224
33aNPI1932525136assigned 03/12/2014
33bProvider typeDentist
28Total paid$1.30M
24GClaims14,712
24DCodes billed12
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#43 of 452
Median peer was paid$59K
This provider vs. median22×
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 | 1,871 | $139K | |
| 2019 | 4,268 | $337K | |
| 2020 | 3,769 | $263K | |
| 2021 | 1,136 | $79K | |
| 2022 | 225 | $19K | |
| 2023 | 1,749 | $240K | |
| 2024incomplete | 1,694 | $224K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 44% | 2,545 | 824 | $567K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 13% | 1,849 | 1,481 | $166K |
| D9222 | 10% | 1,442 | 1,385 | $132K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 7.7% | 1,196 | 596 | $100K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.7% | 2,053 | 1,997 | $100K |
| D0330 | Panoramic radiographic image | 6.9% | 1,964 | 1,907 | $90K |
| D7140 | Extraction, erupted tooth or exposed root | 5.3% | 1,657 | 473 | $69K |
| D9610 | 4.6% | 1,486 | 1,429 | $60K | |
| D7250 | <1% | 131 | 48 | $13K | |
| D7230 | <1% | 20 | 12 | $4K | |
| D9219 | <1% | 71 | 69 | $964.80 | |
| D1999 | 0% | 298 | 289 | $0.00 |
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.