Medicaid Provider Spending

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

KELLY, KERRY

NPI: 1306224142 · SODUS, NY 14551 · General Practice Dentistry · NPI assigned 05/13/2015

$13K
Total Medicaid Paid
336
Total Claims
303
Beneficiaries
7
Codes Billed
2018-02
First Month
2019-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 248 $10K
2019 88 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 102 102 $5K
D7140 Extraction, erupted tooth or exposed root 46 13 $3K
D0330 Panoramic radiographic image 41 41 $1K
D0120 Periodic oral evaluation - established patient 47 47 $1K
D0150 Comprehensive oral evaluation - new or established patient 43 43 $1K
D0274 Bitewings - four radiographic images 31 31 $844.10
D0220 Intraoral - periapical first radiographic image 26 26 $357.90