Kelly, Timothy

Kelly, Timothy was paid $810.24 by Medicaid between May 2018 and Feb 2019, across 2 billing codes. Its largest line is D1120, dental cleaning, child — 66% of everything it billed.

33Billing provider infoKELLY, TIMOTHY
RAPID CITY, SD 57702

33aNPI1588653281assigned 10/17/2005

33bProvider typeDentist

28Total paid$810.24

24GClaims26

24DCodes billed2

24AFirst – last monthMay 2018 – Feb 2019

Compared with peers

Next to other Dentist providers in South Dakota

Rank by total paid#35 of 42

Median peer was paid$19K

This provider vs. median0.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	14	$535.08
2019	12	$275.16

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	66%	14	14	$535.08
D1206	Topical application of fluoride varnish	34%	12	12	$275.16

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.