Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › FISHERS › BRIGHT SMILE DENTAL CARE

BRIGHT SMILE DENTAL CARE

NPI: 1003213646 · FISHERS, IN 46038 · Dentist · NPI assigned 11/25/2014

$14K
Total Medicaid Paid
465
Total Claims
398
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-01
Last Month

Provider Details

Authorized OfficialKONG, SUNG (DENTIST/OWNER)
NPI Enumeration Date11/25/2014

Related Entities

Other providers sharing the same authorized official: KONG, SUNG

ProviderCityStateTotal Paid
WEST 38TH DENTAL, LTD INDIANAPOLIS IN $4K
CENTER GROVE DENTAL, LLC GREENWOOD IN $157.69

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27 $70.33
2019 12 $252.88
2021 216 $7K
2022 194 $6K
2024 16 $463.43

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 170 140 $7K
D0120 Periodic oral evaluation - established patient 246 220 $5K
D0150 Comprehensive oral evaluation - new or established patient 34 25 $908.80
D1206 Topical application of fluoride varnish 15 13 $200.25