Dental
Rawson, Kenneth
Rawson, Kenneth was paid $1.40M by Medicaid between Feb 2018 and Jul 2020, across 23 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 28% of everything it billed.
33Billing provider infoRAWSON, KENNETH
ALTON, IL 62002
ALTON, IL 62002
33aNPI1295890366assigned 12/27/2006
33bProvider typePediatric Dentist
28Total paid$1.40M
24GClaims18,774
24DCodes billed23
24AFirst – last monthFeb 2018 – Jul 2020
Compared with peers
Next to other Pediatric Dentist providers in Illinois
Rank by total paid#8 of 53
Median peer was paid$99K
This provider vs. median14×
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 | 3,721 | $340K | |
| 2019 | 11,517 | $883K | |
| 2020 | 3,536 | $179K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 28% | 3,203 | 905 | $388K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 3,161 | 1,037 | $232K |
| D2934 | 14% | 1,474 | 345 | $198K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 14% | 2,444 | 662 | $190K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 8.0% | 1,196 | 529 | $113K |
| D7140 | Extraction, erupted tooth or exposed root | 7.8% | 1,853 | 692 | $109K |
| D2330 | 3.1% | 790 | 317 | $43K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.8% | 602 | 297 | $39K |
| D0272 | Bitewings - two radiographic images | 1.2% | 1,001 | 990 | $16K |
| D2331 | <1% | 180 | 93 | $11K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 297 | 297 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 329 | 325 | $9K |
11 more codes
| D1351 | Sealant - per tooth | <1% | 462 | $9K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 654 | $7K |
| D1510 | <1% | 50 | $6K | |
| D1206 | Topical application of fluoride varnish | <1% | 374 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 414 | $5K |
| D1110 | Prophylaxis - adult | <1% | 63 | $2K |
| D0330 | Panoramic radiographic image | <1% | 45 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 76 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 39 | $2K |
| D2332 | <1% | 20 | $1K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 47 | $1K |
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.