Dental
Ferguson, Kimberly
Ferguson, Kimberly was paid $480.90 by Medicaid between Feb 2018 and Jun 2021, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.
33Billing provider infoFERGUSON, KIMBERLY
MOUNT KISCO, NY 10549
MOUNT KISCO, NY 10549
33aNPI1598913337assigned 09/05/2008
33bProvider typeDentist
28Total paid$480.90
24GClaims1,405
24DCodes billed12
24AFirst – last monthFeb 2018 – Jun 2021
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#1,549 of 1,649
Median peer was paid$49K
This provider vs. median0.0×
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 | 98 | $0.00 | |
| 2019 | 25 | $0.00 | |
| 2020 | 825 | $59.00 | |
| 2021 | 457 | $421.90 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 40% | 169 | 169 | $192.10 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 34% | 86 | 65 | $165.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 10% | 157 | 157 | $48.50 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.2% | 266 | 266 | $39.55 |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.5% | 27 | 27 | $21.75 |
| D0274 | Bitewings - four radiographic images | 2.9% | 78 | 78 | $14.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 72 | 72 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 63 | 63 | $0.00 |
| D1330 | 0% | 295 | 295 | $0.00 | |
| D1310 | 0% | 149 | 149 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 30 | 30 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 13 | 13 | $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.