ANDREWS, KELLY
NPI: 1518245349
· TIGARD, OR 97223
· Dentist
· NPI assigned 07/27/2011
$45.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
18 |
$0.00 |
| 2020 |
21 |
$0.00 |
| 2024 |
14 |
$45.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D9310 |
|
32 |
31 |
$45.00 |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
21 |
12 |
$0.00 |