AABY, KELLI
NPI: 1508090481
· LOVES PARK, IL 61111
· General Practice Dentistry
· NPI assigned 05/07/2009
$204K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,514 |
$43K |
| 2024 |
5,742 |
$161K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
1,686 |
696 |
$70K |
| D1120 |
Prophylaxis - child |
1,344 |
1,344 |
$58K |
| D0120 |
Periodic oral evaluation - established patient |
1,372 |
1,372 |
$40K |
| D1206 |
Topical application of fluoride varnish |
1,343 |
1,343 |
$37K |
| D0602 |
|
632 |
632 |
$0.00 |
| D0601 |
|
496 |
496 |
$0.00 |
| D0603 |
|
383 |
383 |
$0.00 |