DR. STEPHEN A. KELLAM, LLC
NPI: 1932485380
· SANTA FE, NM 87505
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 10/31/2011
$148K
Total Medicaid Paid
Provider Details
| Authorized Official | KELLAM, STEPHEN (PRESIDENT/OWNER) |
| NPI Enumeration Date | 10/31/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
122 |
$59K |
| 2019 |
232 |
$71K |
| 2020 |
127 |
$13K |
| 2021 |
46 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
26 |
26 |
$97K |
| D8660 |
|
501 |
501 |
$51K |