INMAN, JON
NPI: 1134202922
· WILLIAMSPORT, IN 47993
· General Practice Dentistry
· NPI assigned 10/23/2006
$104K
Total Medicaid Paid
3,816
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
591 |
$3K |
| 2019 |
686 |
$17K |
| 2020 |
455 |
$13K |
| 2021 |
591 |
$16K |
| 2022 |
729 |
$21K |
| 2023 |
667 |
$20K |
| 2024 |
413 |
$14K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,021 |
947 |
$44K |
| D0120 |
Periodic oral evaluation - established patient |
1,932 |
1,791 |
$40K |
| D1208 |
Topical application of fluoride, excluding varnish |
931 |
852 |
$14K |
| D1120 |
Prophylaxis - child |
205 |
189 |
$5K |
| D0272 |
Bitewings - two radiographic images |
43 |
37 |
$873.30 |