Kimbrough, Ralph

Kimbrough, Ralph was paid $63K by Medicaid between Mar 2018 and Jan 2020, across 10 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 68% of everything it billed.

33Billing provider infoKIMBROUGH, RALPH
CARBONDALE, IL 62901

33aNPI1053647032assigned 10/26/2009

33bProvider typeGeneral Practice Dentistry

28Total paid$63K

24GClaims1,930

24DCodes billed10

24AFirst – last monthMar 2018 – Jan 2020

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#636 of 1,017

Median peer was paid$123K

This provider vs. median0.5×

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	1,058	$43K
2019	845	$19K
2020	27	$778.12

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0999	Unspecified diagnostic procedure, by report	68%	1,109	905	$43K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	17%	281	260	$11K
D2150	Silver amalgam - two surfaces, primary or permanent	3.9%	93	69	$2K
D1120	Dental cleaning, childProphylaxis - child	3.1%	180	168	$2K
D0140	Limited oral evaluation - problem focused	2.9%	37	36	$2K
D1206	Topical application of fluoride varnish	2.5%	112	102	$2K
D7140	Extraction, erupted tooth or exposed root	1.2%	45	30	$752.36
D0274	Bitewings - four radiographic images	<1%	32	32	$446.44
D0220	Intraoral - periapical first radiographic image	<1%	29	29	$355.27
D1208	Topical application of fluoride, excluding varnish	0%	12	12	$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.