KIRTLAND, KELLY
NPI: 1275535320
· PORTLAND, ME 04103
· Pediatric Dentist
· NPI assigned 06/01/2005
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
71 |
$345.00 |
| 2024 |
332 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
66 |
52 |
$2K |
| D1206 |
Topical application of fluoride varnish |
81 |
66 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
53 |
42 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
26 |
18 |
$1K |
| D0272 |
Bitewings - two radiographic images |
46 |
34 |
$903.90 |
| D1110 |
Prophylaxis - adult |
13 |
12 |
$847.86 |
| D0274 |
Bitewings - four radiographic images |
17 |
15 |
$628.80 |
| D0220 |
Intraoral - periapical first radiographic image |
21 |
15 |
$206.43 |
| D1330 |
|
27 |
27 |
$0.00 |
| D0603 |
|
26 |
26 |
$0.00 |
| D1310 |
|
27 |
27 |
$0.00 |