Kelley, Thomas

Kelley, Thomas was paid $1.65M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D4341, — 38% of everything it billed.

33Billing provider infoKELLEY, THOMAS
BROOKFIELD, WI 53005

33aNPI1770572828assigned 10/20/2005

33bProvider typePeriodontist

28Total paid$1.65M

24GClaims37,804

24DCodes billed15

24AFirst – last monthJan 2018 – Dec 2024

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
2018	6,140	$257K
2019	5,995	$237K
2020	4,487	$187K
2021	5,675	$216K
2022	5,632	$273K
2023	5,088	$245K
2024incomplete	4,787	$237K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D4341		38%	8,883	2,599	$627K
D0160		14%	5,345	4,845	$226K
D0210	Intraoral - complete series of radiographic images	12%	4,916	4,457	$192K
D4355		9.0%	2,517	2,289	$148K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	7.4%	1,900	601	$123K
D4910		5.7%	2,191	2,041	$94K
D1110	Prophylaxis - adult	4.5%	2,664	2,499	$75K
D0150	Comprehensive oral evaluation - new or established patient	2.5%	2,510	2,353	$42K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.2%	2,455	2,287	$36K
D4342		2.2%	1,099	383	$36K
D1208	Topical application of fluoride, excluding varnish	<1%	1,086	1,030	$16K
D0140	Limited oral evaluation - problem focused	<1%	906	807	$16K

3 more codes

D0170		<1%	744	$11K
D1120	Dental cleaning, child	<1%	479	$10K
D0220	Intraoral - periapical first radiographic image	<1%	109	$629.61

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.