Matthew Dixon Kelly
NPI 1699061523ActiveIndividual· Dentist· Page, AZ
Opted out of Medicare from August 2023 to August 2027. Dentist in Page, Arizona, licensed in AZ, with an NPI issued in June 2011. Part D covered 39 prescriptions written in 2024, 100% of them generic. Henry Schein, Inc. was the largest of 2 companies reporting payments in 2024, $857.92 in all, mostly travel and lodging.
Overview
| NPI | 1699061523 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 20, 2011 |
| Last updated in NPPES | Jun 20, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | D008232 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Aug 25, 2023 – Aug 25, 2027 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 39 · 39 30-day fills |
|---|---|
| Patients | 35 |
| Total drug cost | $142.64 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2024$857.92 · 3 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Henry Schein, Inc. | $740.96 | 1 |
| A-Dec, Inc. | $116.96 | 2 |
What the 2024 payments were for
- Travel and Lodging$740.96 · 1 payment
- Food and Beverage$116.96 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist providers in Page
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