ABBEVILLE DENTISTRY - LUBBOCK PUEBLO, PLLC · NPI 1356092324

ABBEVILLE DENTISTRY - LUBBOCK PUEBLO, PLLC

NPI: 1356092324 · LUBBOCK, TX 79414 · General Practice Dentistry · NPI assigned 01/12/2022

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official REIBEL, JEFF controls 20+ related entities in our dataset. Read more

$8K

Total Medicaid Paid

1,746

Total Claims

1,580

Beneficiaries

Codes Billed

2022-07

First Month

2022-11

Last Month

Authorized Official	REIBEL, JEFF (CFO)
NPI Enumeration Date	01/12/2022

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

Year	Claims	Total Paid
2022	1,746	$8K

Code	Description	Claims	Beneficiaries	Total Paid
D2391	Resin-based composite - one surface, posterior, primary or permanent	151	45	$1K
D1120	Prophylaxis - child	164	162	$1K
D0120	Periodic oral evaluation - established patient	173	170	$952.05
D0272	Bitewings - two radiographic images	173	170	$841.68
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	35	16	$728.81
D0220	Intraoral - periapical first radiographic image	237	230	$703.36
D0230	Intraoral - periapical each additional radiographic image	229	211	$633.05
D0145	Oral evaluation for a patient under three years of age	16	16	$590.21
D1206	Topical application of fluoride varnish	203	200	$499.80
D1110	Prophylaxis - adult	44	43	$329.28
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	67	65	$189.77
D0150	Comprehensive oral evaluation - new or established patient	17	17	$141.28
D0602		222	220	$0.00
D0601		15	15	$0.00