Dental
Kellen A. Spivey Dental Services, LLC
Kellen A. Spivey Dental Services, LLC was paid $2K by Medicaid between Jan 2019 and Mar 2024, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 54% of everything it billed.
33Billing provider infoKELLEN A. SPIVEY DENTAL SERVICES, LLC
ANNISTON, AL 36206
ANNISTON, AL 36206
33aNPI1962633255assigned 08/04/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$2K
24GClaims110
24DCodes billed3
24AFirst – last monthJan 2019 – Mar 2024
Compared with peers
Next to other General Practice Dentistry providers in Alabama
Rank by total paid#241 of 293
Median peer was paid$31K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2019 | 51 | $722.00 | |
| 2022 | 12 | $237.60 | |
| 2023 | 33 | $564.30 | |
| 2024incomplete | 14 | $240.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 54% | 59 | 52 | $947.40 |
| D1110 | Prophylaxis - adult | 39% | 34 | 27 | $696.50 |
| D1208 | Topical application of fluoride, excluding varnish | 6.8% | 17 | 12 | $120.00 |
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.
From NPPES
Who's on the registration
Authorized officialSPIVEY, KELLEN (OWNER)