Kelsey Cody DDS PLLC

Kelsey Cody DDS PLLC was paid $60K by Medicaid between May 2022 and Feb 2024, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 30% of everything it billed.

33Billing provider infoKELSEY CODY DDS PLLC
ROBBINSVILLE, NC 28771

33aNPI1134888415assigned 12/14/2021

33bProvider typeGeneral Practice Dentistry

28Total paid$60K

24GClaims2,381

24DCodes billed8

24AFirst – last monthMay 2022 – Feb 2024

Compared with peers

Next to other General Practice Dentistry providers in North Carolina

Rank by total paid#450 of 756

Median peer was paid$121K

This provider vs. median0.5×

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	30%	719	699	$18K
D1110	Prophylaxis - adult	30%	501	490	$18K
D1206	Topical application of fluoride varnish	17%	623	607	$10K
D1120	Dental cleaning, childProphylaxis - child	16%	358	350	$10K
D0140	Limited oral evaluation - problem focused	2.8%	48	44	$2K
D0272	Bitewings - two radiographic images	2.4%	81	79	$1K
D0274	Bitewings - four radiographic images	1.7%	39	36	$1K
D0220	Intraoral - periapical first radiographic image	<1%	12	12	$187.20

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.

From NPPES

Who's on the registration

Authorized officialCODY, KELSEY (OWNER/DENTIST)