Kelly, Kerry

Kelly, Kerry was paid $13K by Medicaid between Feb 2018 and Dec 2019, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.

33Billing provider infoKELLY, KERRY
SODUS, NY 14551

33aNPI1306224142assigned 05/13/2015

33bProvider typeGeneral Practice Dentistry

28Total paid$13K

24GClaims336

24DCodes billed7

24AFirst – last monthFeb 2018 – Dec 2019

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#1,513 of 2,184

Median peer was paid$54K

This provider vs. median0.2×

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
2018	248	$10K
2019	88	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	40%	102	102	$5K
D7140	Extraction, erupted tooth or exposed root	20%	46	13	$3K
D0330	Panoramic radiographic image	11%	41	41	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	9.6%	47	47	$1K
D0150	Comprehensive oral evaluation - new or established patient	9.2%	43	43	$1K
D0274	Bitewings - four radiographic images	6.6%	31	31	$844.10
D0220	Intraoral - periapical first radiographic image	2.8%	26	26	$357.90

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.