INDY DENTAL HEALTH-SHELBYVILLE
NPI: 1184294837
· SHELBYVILLE, IN 46176
· 261QD0000X
$780K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
474 |
$14K |
| 2022 |
6,374 |
$248K |
| 2023 |
6,854 |
$270K |
| 2024 |
5,871 |
$247K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,694 |
1,013 |
$127K |
| D1110 |
|
1,651 |
1,470 |
$81K |
| D7140 |
|
875 |
300 |
$69K |
| D0120 |
|
2,272 |
2,039 |
$53K |
| D0140 |
|
1,412 |
1,221 |
$51K |
| D0330 |
|
1,168 |
973 |
$51K |
| D2391 |
|
890 |
592 |
$51K |
| D0274 |
|
1,582 |
1,385 |
$49K |
| D0150 |
|
1,118 |
953 |
$43K |
| D2393 |
|
407 |
285 |
$38K |
| D0210 |
|
751 |
536 |
$28K |
| D1120 |
|
744 |
664 |
$23K |
| D1208 |
|
893 |
807 |
$18K |
| D9230 |
|
719 |
604 |
$18K |
| D0220 |
|
1,496 |
1,270 |
$17K |
| D7210 |
|
97 |
29 |
$16K |
| D1206 |
|
476 |
419 |
$11K |
| D2335 |
|
81 |
51 |
$11K |
| D1351 |
|
417 |
74 |
$10K |
| D0230 |
|
606 |
424 |
$6K |
| D0272 |
|
188 |
165 |
$4K |
| D2394 |
|
18 |
14 |
$2K |
| D2332 |
|
18 |
12 |
$2K |