Medicaid Provider Spending

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

PATRICK J KELLY DDS , P.C

NPI: 1194081273 · LINCOLN PARK, MI 48146 · General Practice Dentistry · NPI assigned 04/03/2012

$66K
Total Medicaid Paid
2,452
Total Claims
2,452
Beneficiaries
5
Codes Billed
2020-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLAVOIE, SHAWN (INSURANCE BILLER)
NPI Enumeration Date04/03/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 291 $9K
2021 557 $14K
2022 478 $12K
2023 624 $17K
2024 502 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 636 636 $23K
D0120 Periodic oral evaluation - established patient 893 893 $21K
D1206 Topical application of fluoride varnish 851 851 $19K
D1110 Prophylaxis - adult 44 44 $2K
D0274 Bitewings - four radiographic images 28 28 $777.75