Thomas, Kelly

Thomas, Kelly was paid $6K by Medicaid between Mar 2022 and Aug 2022, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 47% of everything it billed.

33Billing provider infoTHOMAS, KELLY
CONYERS, GA 30013

33aNPI1821374828assigned 10/24/2011

33bProvider typeGeneral Practice Dentistry

28Total paid$6K

24GClaims494

24DCodes billed6

24AFirst – last monthMar 2022 – Aug 2022

Compared with peers

Next to other General Practice Dentistry providers in Georgia

Rank by total paid#47 of 63

Median peer was paid$30K

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
2022	494	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	47%	106	104	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	22%	25	14	$1K
D0150	Comprehensive oral evaluation - new or established patient	15%	52	52	$891.77
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	28	26	$700.62
D1206	Topical application of fluoride varnish	3.2%	148	145	$186.50
D1330		<1%	135	133	$55.92

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.