NPI: 1285320457 · LAFAYETTE, IN 47905 · General Practice Dentistry · NPI assigned 04/12/2023
| Authorized Official | CHAUDHARI, REKHA (OWNER) |
| NPI Enumeration Date | 04/12/2023 |
Other providers sharing the same authorized official: CHAUDHARI, REKHA
| Provider | City | State | Total Paid |
|---|---|---|---|
| URGENT DENTAL CENTER WEST | INDIANAPOLIS | IN | $5.34M |
| URGENT DENTAL CENTER | IRVING | TX | $5.21M |
| URGENT DENTAL CENTER NORTH LLC | INDIANAPOLIS | IN | $3.30M |
| URGENT DENTAL CENTER SOUTH LLC | INDIANAPOLIS | IN | $2.79M |
| URGENT DENTAL CENTER AVON LLC | INDIANAPOLIS | IN | $1.21M |
| URGENT DENTAL CENTER SW LLC | INDIANAPOLIS | IN | $596K |
| URGENT DENTAL CENTER LINWOOD LLC | INDIANAPOLIS | IN | $504K |
| URGENT DENTAL CENTER FRANKFORT LLC | FRANKFORT | IN | $362K |
| URGENT DENTAL CENTER TERRE HAUTE LLC | TERRE HAUTE | IN | $98K |
| URGENT DENTAL CENTER ANDERSON LLC | ANDERSON | IN | $38K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 100 | $5K |
| 2024 | 1,029 | $50K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 403 | 318 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 396 | 360 | $17K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 46 | 25 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 75 | 38 | $6K |
| D0140 | Limited oral evaluation - problem focused | 40 | 37 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 80 | 76 | $1K |
| D1110 | Prophylaxis - adult | 13 | 13 | $806.65 |
| D0230 | Intraoral - periapical each additional radiographic image | 52 | 47 | $716.38 |
| D0330 | Panoramic radiographic image | 12 | 12 | $514.24 |
| D1208 | Topical application of fluoride, excluding varnish | 12 | 12 | $280.39 |