KELLY FAMILY DENTISTRY
NPI: 1619338761
· JACKSON, MS 39216
· Dental Clinic/Center
· NPI assigned 03/17/2016
Provider Details
| Authorized Official | KELLY, SHENIKA (DENTIST/OWNER) |
| NPI Enumeration Date | 03/17/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
65 |
$2K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
31 |
25 |
$718.18 |
| D0330 |
Panoramic radiographic image |
17 |
12 |
$684.00 |
| D0120 |
Periodic oral evaluation - established patient |
17 |
12 |
$339.00 |