KELLY FAMILY ORTHODONTICS
NPI: 1871917179
· GLASTONBURY, CT 06033
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 02/07/2014
$560K
Total Medicaid Paid
Provider Details
| Authorized Official | KELLY, GILLIAN (ORTHODONTIST) |
| NPI Enumeration Date | 02/07/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,149 |
$129K |
| 2019 |
2,012 |
$110K |
| 2020 |
1,852 |
$95K |
| 2021 |
1,738 |
$83K |
| 2022 |
1,417 |
$63K |
| 2023 |
1,229 |
$53K |
| 2024 |
1,230 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
11,369 |
11,269 |
$552K |
| D8660 |
|
233 |
226 |
$7K |
| D9310 |
|
25 |
25 |
$827.06 |