Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KERRY KELLY D.D.S., P.C.

NPI: 1700355849 · ITHACA, NY 14850 · Dentist · NPI assigned 11/19/2018

$14K
Total Medicaid Paid
434
Total Claims
434
Beneficiaries
2
Codes Billed
2019-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialKELLY, KERRY (OWNER/DENTIST)
NPI Enumeration Date11/19/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 39 $1K
2020 66 $2K
2021 80 $2K
2022 135 $5K
2023 114 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 350 350 $9K
D1110 Prophylaxis - adult 84 84 $4K