ANTRANIG KELLEYAN
NPI: 1659653970
· BALDWIN PARK, CA 91706
· General Practice Dentistry
· NPI assigned 09/13/2011
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
266 |
$5K |
| 2019 |
220 |
$5K |
| 2021 |
29 |
$2K |
| 2022 |
13 |
$862.00 |
| 2024 |
24 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
197 |
196 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
68 |
68 |
$4K |
| D1120 |
Prophylaxis - child |
107 |
107 |
$2K |
| D0330 |
Panoramic radiographic image |
62 |
62 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
24 |
24 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
69 |
69 |
$620.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
25 |
12 |
$71.40 |