NPI: 1154057461 · INDIANAPOLIS, IN 46219 · Dental Clinic/Center · NPI assigned 07/28/2022
| Authorized Official | PATEL, ANKIT (CEO) |
| NPI Enumeration Date | 07/28/2022 |
Other providers sharing the same authorized official: PATEL, ANKIT
| Provider | City | State | Total Paid |
|---|---|---|---|
| COLUMBUS DENTAL CORP | COLUMBUS | IN | $6.43M |
| QUEEN CITY DENTAL LLC | CINCINNATI | OH | $2.72M |
| ANDERSON DENTAL LLC | ANDERSON | IN | $1.55M |
| NEDERLAND SMILE PC | TEXAS CITY | TX | $406K |
| INDY WEST DENTAL LLC | INDIANAPOLIS | IN | $324K |
| SUSHKAP DENTAL PLLC | DICKINSON | TX | $183K |
| LPR DENTAL SPA LLC | SCHERERVILLE | IN | $103K |
| INDY SOUTH DENTAL LLC | INDIANAPOLIS | IN | $53K |
| UNIQ THERAPY SERVICES INC | WARMINSTER | PA | $9K |
| NILKANTH AMS, INC | CALEXICO | CA | $901.78 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,559 | $112K |
| 2024 | 1,781 | $130K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 834 | 259 | $129K |
| D0210 | Intraoral - complete series of radiographic images | 856 | 684 | $47K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,052 | 840 | $44K |
| D0140 | Limited oral evaluation - problem focused | 196 | 159 | $8K |
| D1110 | Prophylaxis - adult | 74 | 70 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 47 | 24 | $4K |
| D0330 | Panoramic radiographic image | 59 | 28 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 121 | 71 | $2K |
| D0274 | Bitewings - four radiographic images | 27 | 12 | $922.16 |
| D0230 | Intraoral - periapical each additional radiographic image | 74 | 26 | $554.60 |