TIMOTHY L KELLY DDS
NPI: 1699132993
· RAPID CITY, SD 57702
· Dentist
· NPI assigned 01/19/2016
Provider Details
| Authorized Official | KELLY, TIMOTHY (PRESIDENT) |
| NPI Enumeration Date | 01/19/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
42 |
$2K |
| 2024 |
28 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
25 |
25 |
$1K |
| D1206 |
Topical application of fluoride varnish |
32 |
32 |
$912.68 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$640.51 |