Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › PAOLI › OCFD MANAGEMENT, LLC

OCFD MANAGEMENT, LLC

NPI: 1194072330 · PAOLI, IN 47454 · General Practice Dentistry · NPI assigned 08/07/2012

$34K
Total Medicaid Paid
2,129
Total Claims
1,843
Beneficiaries
7
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialVAN EMON, MICHAEL (PRESIDENT)
NPI Enumeration Date08/07/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,100 $5K
2019 922 $26K
2020 107 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 816 697 $10K
D1110 Prophylaxis - adult 371 329 $10K
D1120 Prophylaxis - child 309 268 $6K
D1206 Topical application of fluoride varnish 267 226 $5K
D1208 Topical application of fluoride, excluding varnish 310 286 $1K
D0140 Limited oral evaluation - problem focused 40 25 $784.60
D2391 Resin-based composite - one surface, posterior, primary or permanent 16 12 $0.00