ARGOS FAMILY DENTISTRY PC

NPI: 1245213867 · ARGOS, IN 46501 · General Practice Dentistry · NPI assigned 11/29/2005

$17K

Total Medicaid Paid

618

Total Claims

494

Beneficiaries

Codes Billed

2022-06

First Month

2022-10

Last Month

Provider Details

Authorized Official	DIXON, MICHAEL (PRESIDENT)
NPI Enumeration Date	11/29/2005

Other providers sharing the same authorized official: DIXON, MICHAEL

Provider	City	State	Total Paid
ADVANCED ORTHOPEDICS AND PHYSICAL THERAPY, INC.	WARRENSVILLE HEIGHTS	OH	$20K
BARRETT PARKWAY FOOT AND LEG	KENNESAW	GA	$14K
HEALTHSOURCE OF WHITE BEAR LAKE, PLLC	WHITE BEAR LAKE	MN	$279.20

Year	Claims	Total Paid
2022	618	$17K

Code	Description	Claims	Beneficiaries	Total Paid
D0274	Bitewings - four radiographic images	121	115	$3K
D1110	Prophylaxis - adult	72	69	$3K
D0210	Intraoral - complete series of radiographic images	69	61	$3K
D0150	Comprehensive oral evaluation - new or established patient	78	74	$2K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	21	17	$2K
D1351	Sealant - per tooth	103	13	$2K
D0330	Panoramic radiographic image	44	41	$1K
D0120	Periodic oral evaluation - established patient	67	64	$1K
D0140	Limited oral evaluation - problem focused	24	23	$726.72
D1208	Topical application of fluoride, excluding varnish	19	17	$223.90