KELLY, WAYNE
NPI: 1306834304
· ARVERNE, NY 11692
· General Practice Dentistry
· NPI assigned 10/12/2005
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,305 |
$42K |
| 2019 |
2,226 |
$45K |
| 2020 |
538 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,144 |
1,143 |
$34K |
| D0120 |
Periodic oral evaluation - established patient |
1,670 |
1,669 |
$28K |
| D0274 |
Bitewings - four radiographic images |
1,077 |
1,076 |
$17K |
| D1120 |
Prophylaxis - child |
445 |
445 |
$12K |
| D1208 |
Topical application of fluoride, excluding varnish |
709 |
709 |
$7K |
| D0210 |
Intraoral - complete series of radiographic images |
24 |
24 |
$856.49 |