MOUNT COMFORT DENTAL IMPLANTS LLC
NPI: 1306546494
· GREENFIELD, IN 46140
· General Practice Dentistry
· NPI assigned 03/07/2023
$143K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
69 |
$5K |
| 2024 |
1,561 |
$137K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
586 |
320 |
$97K |
| D0330 |
Panoramic radiographic image |
485 |
454 |
$27K |
| D0140 |
Limited oral evaluation - problem focused |
559 |
517 |
$19K |