Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TOP DENTAL CARE LLC

NPI: 1164046876 · GREENWOOD, IN 46142 · General Practice Dentistry · NPI assigned 05/29/2020

$44K
Total Medicaid Paid
1,142
Total Claims
999
Beneficiaries
7
Codes Billed
2022-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialOCAMPO, SANTIAGO (MEMBER)
NPI Enumeration Date05/29/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 361 $15K
2023 380 $14K
2024 401 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 380 329 $18K
D0150 Comprehensive oral evaluation - new or established patient 470 412 $16K
D0120 Periodic oral evaluation - established patient 200 174 $5K
D0210 Intraoral - complete series of radiographic images 46 43 $3K
D0330 Panoramic radiographic image 14 14 $929.12
D0274 Bitewings - four radiographic images 17 15 $514.64
D0140 Limited oral evaluation - problem focused 15 12 $363.36