Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CORNERSTONE WEST LLC

NPI: 1255082178 · DANVILLE, IN 46122 · Dental Clinic/Center · NPI assigned 01/12/2022

$32K
Total Medicaid Paid
734
Total Claims
647
Beneficiaries
7
Codes Billed
2022-11
First Month
2024-05
Last Month

Provider Details

Authorized OfficialSIGG, BRYAN (OWENER/ DDS)
NPI Enumeration Date01/12/2022

Related Entities

Other providers sharing the same authorized official: SIGG, BRYAN

ProviderCityStateTotal Paid
CORNERSTONE FAMILY DENTISTRY INDIANAPOLIS IN $293.54

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 78 $4K
2023 374 $17K
2024 282 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 273 242 $14K
D0150 Comprehensive oral evaluation - new or established patient 222 197 $9K
D0210 Intraoral - complete series of radiographic images 92 82 $6K
D0120 Periodic oral evaluation - established patient 94 82 $2K
D1120 Prophylaxis - child 20 18 $741.44
D1206 Topical application of fluoride varnish 17 13 $222.97
D0220 Intraoral - periapical first radiographic image 16 13 $178.90