INMAN DENTAL CLINIC
NPI: 1366605081
· CARLISLE, AR 72024
· General Practice Dentistry
· NPI assigned 07/02/2008
$102K
Total Medicaid Paid
Provider Details
| Authorized Official | INMAN, ASHLEY (OFFICE MANAGER) |
| NPI Enumeration Date | 07/02/2008 |
Related Entities
Other providers sharing the same authorized official: INMAN, ASHLEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
875 |
$20K |
| 2022 |
1,437 |
$31K |
| 2023 |
1,422 |
$30K |
| 2024 |
1,189 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
564 |
554 |
$26K |
| D0120 |
Periodic oral evaluation - established patient |
646 |
635 |
$16K |
| D1208 |
Topical application of fluoride, excluding varnish |
819 |
803 |
$16K |
| D0272 |
Bitewings - two radiographic images |
521 |
515 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
619 |
586 |
$10K |
| D0230 |
Intraoral - periapical each additional radiographic image |
628 |
490 |
$7K |
| D0140 |
Limited oral evaluation - problem focused |
266 |
218 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
73 |
72 |
$6K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
203 |
175 |
$3K |
| D0601 |
|
358 |
348 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$342.00 |
| D0603 |
|
26 |
26 |
$100.00 |
| D1330 |
|
188 |
177 |
$0.00 |