Dental
Williams, Kelly
Williams, Kelly was paid $84K by Medicaid between Oct 2020 and Dec 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.
33Billing provider infoWILLIAMS, KELLY
WYOMING, PA 18644
WYOMING, PA 18644
33aNPI1134147903assigned 07/18/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$84K
24GClaims3,520
24DCodes billed9
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#295 of 847
Median peer was paid$37K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2020 | 202 | $6K | |
| 2021 | 1,698 | $45K | |
| 2024incomplete | 1,620 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 32% | 762 | 760 | $27K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 1,004 | 1,001 | $20K |
| D0274 | Bitewings - four radiographic images | 12% | 367 | 365 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 9.8% | 452 | 451 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.1% | 228 | 227 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.5% | 93 | 63 | $5K |
| D1330 | 3.8% | 294 | 294 | $3K | |
| D1310 | 3.8% | 294 | 294 | $3K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 26 | 24 | $168.00 |
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.