NPI: 1144746314 · MERRILLVILLE, IN 46410 · Dentist · NPI assigned 08/18/2017
Authorized official LONG, MONICA controls 13+ related entities in our dataset. Read more
| Authorized Official | LONG, MONICA (MANAGER OF PROVIDER CREDENTIALING) |
| Parent Organization | DENTAL SERVICES OF INDIANA, P.C. |
| NPI Enumeration Date | 08/18/2017 |
Other providers sharing the same authorized official: LONG, MONICA
| Provider | City | State | Total Paid |
|---|---|---|---|
| DENTAL SERVICES OF INDIANA, P.C. | INDIANAPOLIS | IN | $640K |
| IMMEDIADENT OF INDIANA, P.C. | ANDERSON | IN | $619K |
| IMMEDIADENT OF INDIANA, P.C. | INDIANAPOLIS | IN | $577K |
| IMMEDIADENT OF INDIANA, P.C. | INDIANAPOLIS | IN | $449K |
| IMMEDIADENT OF INDIANA, P.C. | INDIANAPOLIS | IN | $380K |
| IMMEDIADENT OF INDIANA, P.C. | NEW ALBANY | IN | $378K |
| IMMEDIADENT OF INDIANA, P.C. | CLARKSVILLE | IN | $367K |
| IMMEDIADENT OF INDIANA, P.C. | INDIANAPOLIS | IN | $309K |
| DENTAL SERVICES OF INDIANA, P.C. | SCHERERVILLE | IN | $241K |
| DENTAL SERVICES OF OHIO, INC | SOUTH EUCLID | OH | $224K |
| IMMEDIADENT OF INDIANA, P.C. | INDIANAPOLIS | IN | $188K |
| DENTAL SERVICES OF OHIO, JAMES G. TURK, DDS,& DENEAN R. CARR, DDS, INC | MIDDLEBURG HEIGHTS | OH | $41K |
| DENTAL SERVICES OF OHIO, INC | CINCINNATI | OH | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,941 | $47K |
| 2019 | 3,099 | $248K |
| 2020 | 221 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 490 | 310 | $69K |
| D7140 | Extraction, erupted tooth or exposed root | 736 | 315 | $51K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 851 | 366 | $48K |
| D0210 | Intraoral - complete series of radiographic images | 901 | 811 | $46K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 551 | 290 | $37K |
| D0150 | Comprehensive oral evaluation - new or established patient | 918 | 863 | $27K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 292 | 152 | $15K |
| D1110 | Prophylaxis - adult | 212 | 201 | $8K |
| D2394 | 34 | 29 | $4K | |
| D0330 | Panoramic radiographic image | 47 | 43 | $2K |
| D0120 | Periodic oral evaluation - established patient | 49 | 47 | $1K |
| D0274 | Bitewings - four radiographic images | 30 | 29 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 62 | 55 | $967.26 |
| D0140 | Limited oral evaluation - problem focused | 19 | 18 | $730.44 |
| D0220 | Intraoral - periapical first radiographic image | 55 | 51 | $650.27 |
| D1120 | Prophylaxis - child | 14 | 12 | $296.70 |