Dental
Rodriguez, Kelbin
Rodriguez, Kelbin was paid $1.03M by Medicaid between Jul 2021 and Dec 2024, across 17 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoRODRIGUEZ, KELBIN
KNOXVILLE, TN 37912
KNOXVILLE, TN 37912
33aNPI1689820151assigned 08/15/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$1.03M
24GClaims32,416
24DCodes billed17
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#43 of 336
Median peer was paid$123K
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 | |
|---|---|---|---|
| 2021 | 4,045 | $123K | |
| 2022 | 9,755 | $311K | |
| 2023 | 10,526 | $336K | |
| 2024incomplete | 8,090 | $257K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 2,567 | 1,471 | $176K |
| D1110 | Prophylaxis - adult | 16% | 4,062 | 3,923 | $168K |
| D1206 | Topical application of fluoride varnish | 13% | 6,316 | 6,113 | $132K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 4,741 | 4,607 | $113K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.4% | 2,694 | 2,632 | $86K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.0% | 1,418 | 992 | $82K |
| D0274 | Bitewings - four radiographic images | 5.8% | 2,437 | 2,367 | $59K |
| D0330 | Panoramic radiographic image | 5.5% | 1,415 | 1,369 | $56K |
| D1351 | Sealant - per tooth | 4.9% | 1,716 | 749 | $50K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.8% | 525 | 380 | $39K |
| D0272 | Bitewings - two radiographic images | 2.0% | 1,206 | 1,184 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 1,462 | 1,390 | $16K |
5 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.5% | 549 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,183 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 43 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 57 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 25 | $536.80 |
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.