Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › GREENWOOD › OLIVE BRANCH DENTAL LLC

OLIVE BRANCH DENTAL LLC

NPI: 1053904409 · GREENWOOD, IN 46143 · General Practice Dentistry · NPI assigned 02/17/2021

$4K
Total Medicaid Paid
127
Total Claims
110
Beneficiaries
4
Codes Billed
2022-07
First Month
2022-08
Last Month

Provider Details

Authorized OfficialDURSHANAPALLI, SRINIVAS (MANAGING PARTNER)
NPI Enumeration Date02/17/2021

Related Entities

Other providers sharing the same authorized official: DURSHANAPALLI, SRINIVAS

ProviderCityStateTotal Paid
MICHIANA FAMILY DENTAL LLC SOUTH BEND IN $3.01M
DR. DURSHANAPALLI & ASSOCIATES PLLC HIGH POINT NC $1.15M
OPTIM DENTAL -1 LLC TERRE HAUTE IN $717K
VCARE DENTAL LLC GREENVILLE SC $269K
OLIVE BRANCH DENTAL-1 LLC INDIANAPOLIS IN $159K
TENTH STREET FAMILY DENTAL LLC INDIANAPOLIS IN $124K
VIVA SMILES GIDDINGS PLLC GIDDINGS TX $53K
AFFINITY FAMILY DENTAL LLC SHELBYVILLE IN $36K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 127 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 38 37 $1K
D0330 Panoramic radiographic image 29 28 $1K
D0210 Intraoral - complete series of radiographic images 30 17 $507.60
D1206 Topical application of fluoride varnish 30 28 $400.50