ADVANCED DENTAL CARE OF SUMMERLIN PLACE
NPI: 1093322026
· INDIANAPOLIS, IN 46208
· General Practice Dentistry
· NPI assigned 09/24/2020
Provider Details
Related Entities
Other providers sharing the same authorized official: SUMMERLIN, JACK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
105 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
35 |
26 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
54 |
43 |
$2K |
| D1110 |
Prophylaxis - adult |
16 |
14 |
$749.72 |