Timothy L Kelly DDS

Timothy L Kelly DDS was paid $3K by Medicaid between Nov 2022 and Jan 2024, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 44% of everything it billed.

33Billing provider infoTIMOTHY L KELLY DDS
RAPID CITY, SD 57702

33aNPI1699132993assigned 01/19/2016

33bProvider typeDentist

28Total paid$3K

24GClaims70

24DCodes billed3

24AFirst – last monthNov 2022 – Jan 2024

Compared with peers

Next to other Dentist providers in South Dakota

Rank by total paid#31 of 42

Median peer was paid$19K

This provider vs. median0.1×

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
2022	42	$2K
2024incomplete	28	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	44%	25	25	$1K
D1206	Topical application of fluoride varnish	33%	32	32	$912.68
D0150	Comprehensive oral evaluation - new or established patient	23%	13	13	$640.51

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, TIMOTHY (PRESIDENT)