Dental
Kelley, Jennifer
Kelley, Jennifer was paid $12K by Medicaid between Nov 2023 and Nov 2024, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 64% of everything it billed.
33Billing provider infoKELLEY, JENNIFER
GRANVILLE, NY 12832
GRANVILLE, NY 12832
33aNPI1780678748assigned 09/07/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$12K
24GClaims252
24DCodes billed3
24AFirst – last monthNov 2023 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#1,533 of 2,184
Median peer was paid$54K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 42 | $1K | |
| 2024incomplete | 210 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 64% | 115 | 115 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 32% | 121 | 121 | $4K |
| D0274 | Bitewings - four radiographic images | 4.7% | 16 | 16 | $553.80 |
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.