CARMEL PEDIATRIC DENTISTRY LLC
NPI: 1326403221
· CARMEL, IN 46032
· Pediatric Dentist
· NPI assigned 12/18/2015
$181K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,132 |
$6K |
| 2019 |
1,339 |
$24K |
| 2020 |
1,252 |
$22K |
| 2021 |
2,100 |
$43K |
| 2022 |
1,732 |
$27K |
| 2023 |
1,738 |
$32K |
| 2024 |
940 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
2,721 |
1,896 |
$59K |
| D1206 |
Topical application of fluoride varnish |
3,683 |
2,594 |
$55K |
| D0120 |
Periodic oral evaluation - established patient |
3,196 |
2,267 |
$52K |
| D1110 |
Prophylaxis - adult |
295 |
209 |
$10K |
| D0272 |
Bitewings - two radiographic images |
184 |
125 |
$3K |
| D0330 |
Panoramic radiographic image |
16 |
13 |
$575.52 |
| D0230 |
Intraoral - periapical each additional radiographic image |
89 |
19 |
$510.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
20 |
12 |
$338.59 |
| D0220 |
Intraoral - periapical first radiographic image |
29 |
20 |
$238.50 |