Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › BLOOMINGTON › INDIANA EMERGENCY DENTAL BLOOMINGTON LLC

INDIANA EMERGENCY DENTAL BLOOMINGTON LLC

NPI: 1285468165 · BLOOMINGTON, IN 47403 · General Practice Dentistry · NPI assigned 08/31/2024

$899.92
Total Medicaid Paid
14
Total Claims
14
Beneficiaries
1
Codes Billed
2024-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGARRY, EDWARD (OWNER, DMD)
NPI Enumeration Date08/31/2024

Related Entities

Other providers sharing the same authorized official: GARRY, EDWARD

ProviderCityStateTotal Paid
INDIANA EMERGENCY DENTAL INDIANAPOLIS IN $171K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 14 $899.92

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 14 14 $899.92