KELLY, DEREK
NPI: 1306808597
· BRIDGEVILLE, PA 15017
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 04/04/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
615 |
$49K |
| 2024 |
513 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
937 |
106 |
$72K |
| D7240 |
Removal of impacted tooth - completely bony |
54 |
13 |
$10K |
| D8670 |
Periodic orthodontic treatment visit |
86 |
86 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
25 |
25 |
$468.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$336.00 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$260.00 |