Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WILLIAMS, KELLY

NPI: 1134147903 · WYOMING, PA 18644 · General Practice Dentistry · NPI assigned 07/18/2006

$84K
Total Medicaid Paid
3,520
Total Claims
3,479
Beneficiaries
9
Codes Billed
2020-10
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 202 $6K
2021 1,698 $45K
2024 1,620 $34K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 762 760 $27K
D0120 Periodic oral evaluation - established patient 1,004 1,001 $20K
D0274 Bitewings - four radiographic images 367 365 $10K
D1208 Topical application of fluoride, excluding varnish 452 451 $8K
D1120 Prophylaxis - child 228 227 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 93 63 $5K
D1330 294 294 $3K
D1310 294 294 $3K
D0220 Intraoral - periapical first radiographic image 26 24 $168.00