KEEL, M
NPI: 1578655767
· BAY ST LOUIS, MS 39520
· Dentist
· NPI assigned 09/28/2006
$117K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,783 |
$55K |
| 2019 |
1,312 |
$38K |
| 2020 |
738 |
$22K |
| 2021 |
95 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,369 |
1,258 |
$43K |
| D1120 |
Prophylaxis - child |
1,243 |
1,168 |
$28K |
| D0330 |
Panoramic radiographic image |
547 |
502 |
$22K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,371 |
1,259 |
$17K |
| D0272 |
Bitewings - two radiographic images |
275 |
265 |
$5K |
| D1351 |
Sealant - per tooth |
75 |
12 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
14 |
14 |
$562.06 |
| D0274 |
Bitewings - four radiographic images |
34 |
28 |
$456.72 |