Dental
Hendricks, Kelly
Hendricks, Kelly was paid $186K by Medicaid between Jan 2018 and Jun 2024, across 25 billing codes. Its largest line is D1120, dental cleaning, child — 37% of everything it billed.
33Billing provider infoHENDRICKS, KELLY
SANTA FE, NM 87505
SANTA FE, NM 87505
33aNPI1457773384assigned 01/13/2014
33bProvider typePediatric Dentist
28Total paid$186K
24GClaims10,901
24DCodes billed25
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Pediatric Dentist providers in New Mexico
Rank by total paid#24 of 44
Median peer was paid$240K
This provider vs. median0.8×
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 | 1,963 | $49K | |
| 2019 | 933 | $15K | |
| 2020 | 3,743 | $51K | |
| 2021 | 3,620 | $57K | |
| 2022 | 364 | $8K | |
| 2023 | 184 | $4K | |
| 2024incomplete | 94 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 37% | 1,950 | 1,940 | $69K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 1,296 | 1,292 | $32K |
| D1206 | Topical application of fluoride varnish | 13% | 1,361 | 1,355 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.5% | 448 | 444 | $16K |
| D0272 | Bitewings - two radiographic images | 5.5% | 636 | 633 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 4.9% | 535 | 535 | $9K |
| D0603 | 2.8% | 710 | 701 | $5K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.7% | 192 | 188 | $5K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.6% | 25 | 12 | $3K |
| D0240 | 1.5% | 184 | 97 | $3K | |
| D0602 | <1% | 234 | 232 | $2K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 22 | 12 | $2K |
13 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 24 | $1K |
| D0601 | <1% | 127 | $1K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 42 | $1K |
| D1999 | <1% | 436 | $651.81 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | $638.00 |
| D1320 | <1% | 49 | $490.00 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 16 | $455.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 42 | $410.76 |
| D0274 | Bitewings - four radiographic images | <1% | 16 | $232.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 35 | $207.00 |
| D1330 | <1% | 1,250 | $0.03 | |
| D1310 | 0% | 1,247 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 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.