THOMAS, KELLY
NPI: 1821374828
· CONYERS, GA 30013
· General Practice Dentistry
· NPI assigned 10/24/2011
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
494 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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 |