Kelly, Matthew

Kelly, Matthew was paid $90K by Medicaid between Jan 2018 and Feb 2023, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.

33Billing provider infoKELLY, MATTHEW
MILLSTADT, IL 62260

33aNPI1033465042assigned 07/27/2012

33bProvider typeGeneral Practice Dentistry

28Total paid$90K

24GClaims2,312

24DCodes billed10

24AFirst – last monthJan 2018 – Feb 2023

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#567 of 1,017

Median peer was paid$123K

This provider vs. median0.7×

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	318	$9K
2019	636	$21K
2020	225	$7K
2021	543	$26K
2022	292	$14K
2023	298	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	33%	571	563	$30K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	638	632	$24K
D1206	Topical application of fluoride varnish	22%	573	565	$19K
D7140	Extraction, erupted tooth or exposed root	9.1%	164	82	$8K
D0274	Bitewings - four radiographic images	3.0%	112	112	$3K
D0150	Comprehensive oral evaluation - new or established patient	2.1%	60	60	$2K
D0140	Limited oral evaluation - problem focused	1.5%	73	73	$1K
D0330	Panoramic radiographic image	1.2%	31	31	$1K
D0220	Intraoral - periapical first radiographic image	<1%	78	77	$534.10
D1110	Prophylaxis - adult	<1%	12	12	$492.00

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.