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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJay Keltner, D.d.d. P.A.
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    Jay Keltner, D.d.d. P.A. — Billing Profile & Reimbursement Data

    NPI 1225292915 · Garden City, KS · Dentist

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    Jay Keltner, D.d.d. P.A. is a dentist provider located in Garden City, Kansas. This profile covers 0 Medicare and 28 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationJay Keltner, D.d.d. P.A.
    Address1133 E Kansas Plz
    CityGarden City
    StateKS
    ZIP67846
    TaxonomyDentist
    NPI EnumeratedJuly 11, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$2.4M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D1351Sealant - per tooth23,520$20$564.5K
    D2392Post 2 surface resin‑based composite5,570$60$350.8K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients9,940$20$238.4K
    D1120Prophylaxis–child8,050$30$233.4K
    D0120Periodic oral evaluation - established patient11,370$20$227.3K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth3,900$40$152K
    D2391Resin‑based composite – one surface, posterior2,620$60$152K
    D0272N/A6,520$20$123.8K
    D0274N/A3,280$30$91.8K
    D0330N/A1,970$40$86.6K

    Showing 1–10 of 28

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Kansas providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Kansas median

    28 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D1351Sealant - per tooth162101,490$20$189.4K
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…3040150$130$180.8K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients23320590$30$120.1K
    D1120Prophylaxis–child25360540$40$108.9K
    D2392Post 2 surface resin‑based composite11190330$80$107.8K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)62130340$80$107.5K
    D2391Resin‑based composite – one surface, posterior19170240$70$81K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth25340380$60$75.7K
    D0120Periodic oral evaluation - established patient18390560$20$68.5K
    D2150Amalgam - two surfaces, primary or permanent1220460$60$62.5K

    Showing 1–10 of 28

    Nearby Providers

    Other providers in the same ZIP code as Jay Keltner, D.d.d. P.A., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Compass Behavioral HealthKSMental Health Clinic/Center (Including Community Mental Health Center)$0$34.4M
    Rescare Kansas, Inc.KSIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$31.6M
    MosaicKSPersonal Care Attendant$0$31.3M
    Compass Behavioral HealthKSCommunity/Behavioral Health Agency$0$17.5M
    Destiny Supports, Inc.KSHome Health Agency$0$14M
    Karis, Inc.KSDevelopmentally Disabled Services Day Training Agency$0$9.4M
    Michael P.harris, D.d.s.,p.a.KSDentist$0$5.7M
    Commonspirit Kansas, Inc.KSPediatrics Physician$0$4.2M
    United Methodist Western Kansas Mexican American Ministries, Inc.KSFederally Qualified Health Center (FQHC)$0$2.9M
    United Methodist Western Kansas Mexican-american Ministries, Inc.KSFederally Qualified Health Center (FQHC)$0$2.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Kansas Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kansas Distribution
    Jay Keltner, D.d.d. P.A. — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas