JOSEPH C. KELLY, JR., D.D.S.,PA
NPI: 1760786404
· WILMINGTON, DE 19810
· General Practice Dentistry
· NPI assigned 01/10/2011
$215K
Total Medicaid Paid
Provider Details
| Authorized Official | KELLY, JOSEPH (OWNER) |
| NPI Enumeration Date | 01/10/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
497 |
$8K |
| 2019 |
831 |
$27K |
| 2020 |
1,098 |
$31K |
| 2021 |
1,011 |
$35K |
| 2022 |
1,249 |
$49K |
| 2023 |
1,203 |
$49K |
| 2024 |
475 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,110 |
1,052 |
$71K |
| D0120 |
Periodic oral evaluation - established patient |
2,053 |
1,772 |
$66K |
| D1120 |
Prophylaxis - child |
806 |
718 |
$31K |
| D0274 |
Bitewings - four radiographic images |
608 |
570 |
$28K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
58 |
31 |
$8K |
| D1206 |
Topical application of fluoride varnish |
265 |
233 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
138 |
119 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
55 |
51 |
$618.54 |
| D0601 |
|
1,197 |
1,062 |
$0.00 |
| D0602 |
|
35 |
26 |
$0.00 |
| D0603 |
|
39 |
22 |
$0.00 |