Clinic
Kingsley Momodu, DDS & Associates, PLLC
Kingsley Momodu, DDS & Associates, PLLC was paid $1.18M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 25% of everything it billed.
33Billing provider infoKINGSLEY MOMODU, DDS & ASSOCIATES, PLLC
FAYETTEVILLE, NC 28303
FAYETTEVILLE, NC 28303
33aNPI1801148457assigned 10/06/2012
33bProvider typeDental Clinic/Center
28Total paid$1.18M
24GClaims22,597
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in North Carolina
Rank by total paid#21 of 105
Median peer was paid$224K
This provider vs. median5.3×
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 | 2,147 | $101K | |
| 2019 | 3,098 | $148K | |
| 2020 | 1,999 | $98K | |
| 2021 | 3,130 | $118K | |
| 2022 | 3,595 | $162K | |
| 2023 | 3,205 | $217K | |
| 2024incomplete | 5,423 | $337K |
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 | 25% | 3,361 | 1,186 | $301K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 17% | 561 | 401 | $204K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 13% | 1,347 | 496 | $150K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 1,854 | 720 | $127K |
| D2950 | 5.9% | 768 | 512 | $70K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.9% | 1,693 | 1,407 | $58K |
| D0140 | Limited oral evaluation - problem focused | 3.4% | 1,232 | 1,066 | $40K |
| D1110 | Prophylaxis - adult | 3.1% | 1,134 | 992 | $36K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 2,778 | 2,303 | $35K |
| D0274 | Bitewings - four radiographic images | 2.8% | 1,587 | 1,307 | $33K |
| D2332 | 2.7% | 430 | 141 | $32K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.6% | 1,509 | 1,287 | $31K |
9 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 2,700 | $27K |
| D1120 | Dental cleaning, child | 1.2% | 676 | $14K |
| D4355 | <1% | 106 | $6K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 378 | $5K |
| D3310 | <1% | 19 | $5K | |
| D1206 | Topical application of fluoride varnish | <1% | 274 | $4K |
| D0330 | Panoramic radiographic image | <1% | 32 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 14 | $251.55 |
| D1999 | 0% | 144 | $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.
From NPPES
Who's on the registration
Authorized officialMOMODU, KINGSLEY (DENTAL SURGEON/PROPRIETOR)