CLAY CHANDLER DDS MD & BRIAN KELLEY DDS MD APC
NPI: 1225235807
· LAFAYETTE, LA 70508
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 06/28/2007
$619K
Total Medicaid Paid
Provider Details
| Authorized Official | FABRE, BRIDGET (PRACTICE MANAGER) |
| NPI Enumeration Date | 06/28/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
2,380 |
$332K |
| 2024 |
1,830 |
$287K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,338 |
421 |
$391K |
| D9243 |
|
592 |
297 |
$45K |
| D9222 |
|
273 |
268 |
$38K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
533 |
269 |
$38K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
663 |
653 |
$38K |
| D9239 |
|
321 |
311 |
$37K |
| D0330 |
Panoramic radiographic image |
462 |
459 |
$31K |
| D0140 |
Limited oral evaluation - problem focused |
28 |
26 |
$420.00 |