Kelly, Wayne

Kelly, Wayne was paid $98K by Medicaid between Jan 2018 and Mar 2020, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.

33Billing provider infoKELLY, WAYNE
ARVERNE, NY 11692

33aNPI1306834304assigned 10/12/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$98K

24GClaims5,069

24DCodes billed6

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#879 of 2,184

Median peer was paid$54K

This provider vs. median1.8×

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	2,305	$42K
2019	2,226	$45K
2020	538	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	34%	1,144	1,143	$34K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	28%	1,670	1,669	$28K
D0274	Bitewings - four radiographic images	18%	1,077	1,076	$17K
D1120	Dental cleaning, childProphylaxis - child	12%	445	445	$12K
D1208	Topical application of fluoride, excluding varnish	7.0%	709	709	$7K
D0210	Intraoral - complete series of radiographic images	<1%	24	24	$856.49

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.