NPI: 1205527868 · INDIANAPOLIS, IN 46237 · Dental Clinic/Center · NPI assigned 05/16/2023
| Authorized Official | PATEL, ANKIT (CEO) |
| NPI Enumeration Date | 05/16/2023 |
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 |
| INDY EAST DENTAL LLC | INDIANAPOLIS | IN | $242K |
| SUSHKAP DENTAL PLLC | DICKINSON | TX | $183K |
| LPR DENTAL SPA LLC | SCHERERVILLE | IN | $103K |
| UNIQ THERAPY SERVICES INC | WARMINSTER | PA | $9K |
| NILKANTH AMS, INC | CALEXICO | CA | $901.78 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 743 | $53K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 127 | 56 | $20K |
| D0210 | Intraoral - complete series of radiographic images | 201 | 184 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 249 | 229 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 82 | 29 | $8K |
| D0140 | Limited oral evaluation - problem focused | 19 | 19 | $774.90 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 26 | 24 | $464.38 |
| D0220 | Intraoral - periapical first radiographic image | 25 | 25 | $407.52 |
| D0230 | Intraoral - periapical each additional radiographic image | 14 | 13 | $175.44 |