Clinic
Kelly Family Dentistry
Kelly Family Dentistry was paid $2K by Medicaid between Feb 2021 and Aug 2021, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.
33Billing provider infoKELLY FAMILY DENTISTRY
JACKSON, MS 39216
JACKSON, MS 39216
33aNPI1619338761assigned 03/17/2016
33bProvider typeDental Clinic/Center
28Total paid$2K
24GClaims65
24DCodes billed3
24AFirst – last monthFeb 2021 – Aug 2021
Compared with peers
Next to other Dental Clinic/Center providers in Mississippi
Rank by total paid#42 of 53
Median peer was paid$44K
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 | |
|---|---|---|---|
| 2021 | 65 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 41% | 31 | 25 | $718.18 |
| D0330 | Panoramic radiographic image | 39% | 17 | 12 | $684.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 17 | 12 | $339.00 |
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.
From NPPES
Who's on the registration
Authorized officialKELLY, SHENIKA (DENTIST/OWNER)