Dental
Kelly, Matthew
Kelly, Matthew was paid $139K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 39% of everything it billed.
33Billing provider infoKELLY, MATTHEW
PAGE, AZ 86040
PAGE, AZ 86040
33aNPI1699061523assigned 06/20/2011
33bProvider typeDentist
28Total paid$139K
24GClaims4,024
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in Arizona
Rank by total paid#55 of 468
Median peer was paid$686.85
This provider vs. median202×
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 | 962 | $23K | |
| 2019 | 599 | $20K | |
| 2020 | 469 | $19K | |
| 2021 | 534 | $20K | |
| 2022 | 629 | $23K | |
| 2023 | 469 | $18K | |
| 2024incomplete | 362 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 39% | 961 | 953 | $54K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 32% | 1,281 | 1,274 | $44K |
| D1206 | Topical application of fluoride varnish | 19% | 1,376 | 1,365 | $26K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.0% | 49 | 25 | $6K |
| D0272 | Bitewings - two radiographic images | 3.5% | 231 | 228 | $5K |
| D1110 | Prophylaxis - adult | 1.1% | 27 | 26 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 20 | 12 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 36 | 34 | $989.00 |
| D0140 | Limited oral evaluation - problem focused | <1% | 15 | 14 | $530.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 28 | 27 | $420.00 |
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.