ABBEVILLE SPECIAL NEEDS DENTISTRY PLLC
NPI: 1346809670
· LUBBOCK, TX 79410
· Dentist
· NPI assigned 06/11/2019
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official REIBEL, JEFF controls 20+ related entities in our dataset. Read more
$268K
Total Medicaid Paid
Provider Details
| Authorized Official | REIBEL, JEFF (CFO) |
| NPI Enumeration Date | 06/11/2019 |
Related Entities
Other providers sharing the same authorized official: REIBEL, JEFF
| Provider | City | State | Total Paid |
|---|
| ABBEVILLE DENTISTRY - LUBBOCK PUEBLO, PLLC |
LUBBOCK |
TX |
$6.30M |
| ABBEVILLE FAMILY DENTISTRY |
LUBBOCK |
TX |
$4.42M |
| KIDS DENTISTREE OF KY LLC |
LOUISVILLE |
KY |
$3.20M |
| KIDS DENTISTREE OF IN, LLC |
NEW ALBANY |
IN |
$3.20M |
| KIDS DENTISTREE OF IN, LLC |
AVON |
IN |
$2.68M |
| ORAL SURGERY GROUP OF FRANKFORT, PLLC |
FRANKFORT |
KY |
$2.66M |
| SPECIALIZED DENTAL SERVICES.PLLC |
LOUISVILLE |
KY |
$2.29M |
| KIDS DENTISTREE OF IN, LLC |
SCOTTSBURG |
IN |
$2.24M |
| MORTENSON FAMILY DENTAL CENTER-FRANKFORT, PLLC |
FRANKFORT |
KY |
$1.74M |
| MORTENSON FAMILY DENTAL CENTER - INDEPENDENCE, LLC |
INDEPENDENCE |
KY |
$1.39M |
| MFDC OF INDIANA, INC |
SCOTTSBURG |
IN |
$984K |
| MFDC OF INDIANA, INC |
INDIANAPOLIS |
IN |
$959K |
| MORTENSON FAMILY DENTAL CENTER - BARDSTOWN, PLLC |
BARDSTOWN |
KY |
$796K |
| MORTENSON FAMILY DENTAL - SEYMOUR, LLC |
SEYMOUR |
IN |
$788K |
| MFDC OF KY LLC |
DRY RIDGE |
KY |
$679K |
| MFDC OF INDIANA, INC |
AVON |
IN |
$648K |
| ABBEVILLE DENTISTRY - LEVELLAND PLLC |
LEVELLAND |
TX |
$593K |
| MORTENSON FAMILY DENTAL CENTER - MAINEVILLE LLC |
MAINEVILLE |
OH |
$482K |
| KIDS DENTISTREE OF KY LLC |
GEORGETOWN |
KY |
$469K |
| MFDC OF INDIANA, INC |
GREENWOOD |
IN |
$443K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
105 |
$3K |
| 2020 |
816 |
$10K |
| 2021 |
4,820 |
$67K |
| 2022 |
4,509 |
$63K |
| 2023 |
4,300 |
$64K |
| 2024 |
4,320 |
$61K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,993 |
1,898 |
$97K |
| D0230 |
Intraoral - periapical each additional radiographic image |
7,952 |
1,520 |
$55K |
| D0120 |
Periodic oral evaluation - established patient |
1,141 |
1,084 |
$27K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
761 |
706 |
$20K |
| D1206 |
Topical application of fluoride varnish |
1,413 |
1,349 |
$20K |
| D0220 |
Intraoral - periapical first radiographic image |
1,931 |
1,729 |
$20K |
| D0274 |
Bitewings - four radiographic images |
506 |
478 |
$14K |
| D9420 |
|
258 |
241 |
$8K |
| D0350 |
|
1,020 |
950 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
32 |
27 |
$1K |
| D0180 |
|
59 |
57 |
$776.60 |
| D0602 |
|
838 |
781 |
$0.01 |
| D0601 |
|
872 |
843 |
$0.00 |
| D0603 |
|
94 |
90 |
$0.00 |