KELLY FAMILY DENTISTRY, PC
NPI: 1457620783
· HUNTINGBURG, IN 47542
· General Practice Dentistry
· NPI assigned 12/15/2011
Provider Details
| Authorized Official | KELLY, CHRISTIAN (OWNER/DENTIST) |
| NPI Enumeration Date | 12/15/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
89 |
$315.93 |
| 2019 |
347 |
$8K |
| 2020 |
91 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
293 |
269 |
$5K |
| D1120 |
Prophylaxis - child |
96 |
87 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
91 |
83 |
$2K |
| D1110 |
Prophylaxis - adult |
28 |
28 |
$1K |
| D1206 |
Topical application of fluoride varnish |
19 |
18 |
$356.00 |