INMAN FAMILY DENTAL CLINIC-NLR
NPI: 1255622445
· NORTH LITTLE ROCK, AR 72117
· Dentist
· NPI assigned 04/22/2011
$190K
Total Medicaid Paid
Provider Details
| Authorized Official | INMAN, ASHLEY (OFFICE STAFF) |
| NPI Enumeration Date | 04/22/2011 |
Related Entities
Other providers sharing the same authorized official: INMAN, ASHLEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,209 |
$32K |
| 2019 |
840 |
$24K |
| 2020 |
530 |
$14K |
| 2021 |
827 |
$23K |
| 2022 |
1,264 |
$35K |
| 2023 |
1,293 |
$36K |
| 2024 |
945 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,250 |
1,187 |
$57K |
| D0120 |
Periodic oral evaluation - established patient |
2,111 |
1,997 |
$53K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,666 |
1,586 |
$32K |
| D0272 |
Bitewings - two radiographic images |
1,394 |
1,307 |
$27K |
| D0210 |
Intraoral - complete series of radiographic images |
167 |
161 |
$14K |
| D1120 |
Prophylaxis - child |
119 |
108 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
78 |
75 |
$1K |
| D1206 |
Topical application of fluoride varnish |
36 |
34 |
$578.55 |
| D0603 |
|
46 |
43 |
$200.00 |
| D0330 |
Panoramic radiographic image |
41 |
38 |
$188.10 |