ASPEN DENTAL GROUP, PC
NPI: 1003902784
· LAFAYETTE, IN 47905
· General Practice Dentistry
· NPI assigned 10/04/2006
$126K
Total Medicaid Paid
Provider Details
| Authorized Official | JONES, HEATH (OWNER / DENTIST) |
| NPI Enumeration Date | 10/04/2006 |
Related Entities
Other providers sharing the same authorized official: JONES, HEATH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,273 |
$7K |
| 2019 |
1,559 |
$50K |
| 2020 |
1,066 |
$33K |
| 2021 |
1,163 |
$36K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,080 |
1,037 |
$43K |
| D0120 |
Periodic oral evaluation - established patient |
1,507 |
1,443 |
$28K |
| D0274 |
Bitewings - four radiographic images |
663 |
636 |
$19K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,121 |
1,081 |
$19K |
| D1120 |
Prophylaxis - child |
497 |
485 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
110 |
97 |
$3K |
| D0330 |
Panoramic radiographic image |
41 |
37 |
$2K |
| D0272 |
Bitewings - two radiographic images |
14 |
14 |
$74.43 |
| D0210 |
Intraoral - complete series of radiographic images |
14 |
14 |
$0.00 |
| D1999 |
|
14 |
13 |
$0.00 |