Medicaid Provider Spending

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

KELSEY CODY DDS PLLC

NPI: 1134888415 · ROBBINSVILLE, NC 28771 · General Practice Dentistry · NPI assigned 12/14/2021

$60K
Total Medicaid Paid
2,381
Total Claims
2,317
Beneficiaries
8
Codes Billed
2022-05
First Month
2024-02
Last Month

Provider Details

Authorized OfficialCODY, KELSEY (OWNER/DENTIST)
NPI Enumeration Date12/14/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 810 $21K
2023 1,166 $29K
2024 405 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 719 699 $18K
D1110 Prophylaxis - adult 501 490 $18K
D1206 Topical application of fluoride varnish 623 607 $10K
D1120 Prophylaxis - child 358 350 $10K
D0140 Limited oral evaluation - problem focused 48 44 $2K
D0272 Bitewings - two radiographic images 81 79 $1K
D0274 Bitewings - four radiographic images 39 36 $1K
D0220 Intraoral - periapical first radiographic image 12 12 $187.20