Childress, Kenneth

Childress, Kenneth was paid $75K by Medicaid between Jan 2018 and Feb 2019, across 9 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 33% of everything it billed.

33Billing provider infoCHILDRESS, KENNETH
RUIDOSO, NM 88345

33aNPI1912923475assigned 07/15/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$75K

24GClaims2,231

24DCodes billed9

24AFirst – last monthJan 2018 – Feb 2019

Compared with peers

Next to other General Practice Dentistry providers in New Mexico

Rank by total paid#89 of 202

Median peer was paid$44K

This provider vs. median1.7×

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	1,965	$66K
2019	266	$9K

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	33%	346	105	$25K
D1120	Dental cleaning, childProphylaxis - child	22%	522	520	$17K
D0150	Comprehensive oral evaluation - new or established patient	13%	286	285	$10K
D1208	Topical application of fluoride, excluding varnish	13%	541	539	$10K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	8.6%	235	228	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	6.3%	207	206	$5K
D0272	Bitewings - two radiographic images	1.6%	60	59	$1K
D0274	Bitewings - four radiographic images	<1%	18	18	$545.41
D1110	Prophylaxis - adult	<1%	16	16	$523.36

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.