Dental
Kerry Kelly D.D.S., P.C.
Kerry Kelly D.D.S., P.C. was paid $14K by Medicaid between Jan 2019 and Jun 2023, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 68% of everything it billed.
33Billing provider infoKERRY KELLY D.D.S., P.C.
ITHACA, NY 14850
ITHACA, NY 14850
33aNPI1700355849assigned 11/19/2018
33bProvider typeDentist
28Total paid$14K
24GClaims434
24DCodes billed2
24AFirst – last monthJan 2019 – Jun 2023
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#1,109 of 1,649
Median peer was paid$49K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2019 | 39 | $1K | |
| 2020 | 66 | $2K | |
| 2021 | 80 | $2K | |
| 2022 | 135 | $5K | |
| 2023 | 114 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 68% | 350 | 350 | $9K |
| D1110 | Prophylaxis - adult | 32% | 84 | 84 | $4K |
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, KERRY (OWNER/DENTIST)