Ellis, Kenneth

Ellis, Kenneth was paid $36K by Medicaid between Jan 2018 and Aug 2022, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 34% of everything it billed.

33Billing provider infoELLIS, KENNETH
GADSDEN, AL 35901

33aNPI1639278039assigned 09/22/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$36K

24GClaims1,857

24DCodes billed6

24AFirst – last monthJan 2018 – Aug 2022

Compared with peers

Next to other General Practice Dentistry providers in Alabama

Rank by total paid#144 of 293

Median peer was paid$31K

This provider vs. median1.2×

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	406	$8K
2019	563	$12K
2020	285	$5K
2021	451	$8K
2022	152	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	34%	662	637	$12K
D1208	Topical application of fluoride, excluding varnish	34%	832	800	$12K
D1110	Prophylaxis - adult	20%	196	189	$7K
D1120	Dental cleaning, childProphylaxis - child	9.6%	124	122	$3K
D0272	Bitewings - two radiographic images	1.5%	31	30	$552.80
D0274	Bitewings - four radiographic images	<1%	12	12	$309.00

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.