KELLEY, JENNIFER
NPI: 1780678748
· GRANVILLE, NY 12832
· General Practice Dentistry
· NPI assigned 09/07/2005
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
42 |
$1K |
| 2024 |
210 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
115 |
115 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
121 |
121 |
$4K |
| D0274 |
Bitewings - four radiographic images |
16 |
16 |
$553.80 |