Shumate, Kenneth
Shumate, Kenneth was paid $36K by Medicaid between Feb 2018 and Sep 2021, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 28% of everything it billed.
33Billing provider infoSHUMATE, KENNETH
WALDORF, MD 20601
WALDORF, MD 20601
33aNPI1417236613assigned 08/05/2011
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$36K
24GClaims1,263
24DCodes billed11
24AFirst – last monthFeb 2018 – Sep 2021
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Maryland
Rank by total paid#18 of 60
Median peer was paid$4K
This provider vs. median8.4×
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 | 175 | $6K | |
| 2019 | 85 | $3K | |
| 2020 | 850 | $22K | |
| 2021 | 153 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 28% | 254 | 241 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 17% | 127 | 119 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 281 | 273 | $6K |
| D0140 | Limited oral evaluation - problem focused | 8.1% | 141 | 135 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.1% | 68 | 68 | $3K |
| D1206 | Topical application of fluoride varnish | 6.9% | 99 | 99 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.6% | 28 | 15 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.5% | 31 | 31 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 153 | 147 | $998.10 |
| D0274 | Bitewings - four radiographic images | 2.8% | 58 | 55 | $990.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 23 | 14 | $101.00 |
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.