Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › CAMBY › BONNESS FAMILY DENTISTRY PC

BONNESS FAMILY DENTISTRY PC

NPI: 1245491471 · CAMBY, IN 46113 · Dentist · NPI assigned 06/20/2008

$24K
Total Medicaid Paid
916
Total Claims
841
Beneficiaries
5
Codes Billed
2018-01
First Month
2023-07
Last Month

Provider Details

Authorized OfficialBONNESS, RICHARD (PRESIDENT)
NPI Enumeration Date06/20/2008

Related Entities

Other providers sharing the same authorized official: BONNESS, RICHARD

ProviderCityStateTotal Paid
BONNESS DENTISTY TERRE HAUTE IN $127K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 143 $434.20
2021 303 $9K
2022 446 $14K
2023 24 $908.48

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 291 266 $12K
D0120 Periodic oral evaluation - established patient 434 404 $8K
D1206 Topical application of fluoride varnish 109 99 $2K
D0274 Bitewings - four radiographic images 48 43 $1K
D1120 Prophylaxis - child 34 29 $828.00