Dental
Kelbin Rodriguez D.D.S., PLLC
Kelbin Rodriguez D.D.S., PLLC was paid $1.20M by Medicaid between Jan 2018 and Jul 2021, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoKELBIN RODRIGUEZ D.D.S., PLLC
KNOXVILLE, TN 37912
KNOXVILLE, TN 37912
33aNPI1053623223assigned 07/05/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$1.20M
24GClaims38,235
24DCodes billed18
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#35 of 336
Median peer was paid$123K
This provider vs. median9.7×
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 | 11,344 | $352K | |
| 2019 | 12,273 | $391K | |
| 2020 | 9,288 | $281K | |
| 2021 | 5,330 | $172K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 3,038 | 1,778 | $207K |
| D1206 | Topical application of fluoride varnish | 11% | 6,616 | 6,472 | $134K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 4,134 | 4,048 | $134K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 5,478 | 5,368 | $129K |
| D1110 | Prophylaxis - adult | 11% | 3,067 | 3,003 | $128K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.9% | 1,678 | 1,166 | $94K |
| D1351 | Sealant - per tooth | 5.8% | 2,716 | 1,033 | $69K |
| D0330 | Panoramic radiographic image | 5.5% | 1,688 | 1,640 | $66K |
| D0274 | Bitewings - four radiographic images | 5.0% | 2,543 | 2,486 | $60K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.5% | 547 | 425 | $42K |
| D0272 | Bitewings - two radiographic images | 3.5% | 2,442 | 2,390 | $42K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.4% | 1,026 | 982 | $29K |
6 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.6% | 307 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 1,519 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 475 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 853 | $6K |
| D2332 | <1% | 68 | $5K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 40 | $865.76 |
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 officialRODRIGUEZ, KELBIN (PRESIDENT)