Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THOMAS, KELLY

NPI: 1821374828 · CONYERS, GA 30013 · General Practice Dentistry · NPI assigned 10/24/2011

$6K
Total Medicaid Paid
494
Total Claims
474
Beneficiaries
6
Codes Billed
2022-03
First Month
2022-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 494 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 106 104 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 25 14 $1K
D0150 Comprehensive oral evaluation - new or established patient 52 52 $891.77
D0120 Periodic oral evaluation - established patient 28 26 $700.62
D1206 Topical application of fluoride varnish 148 145 $186.50
D1330 135 133 $55.92