THOMPSON DENTAL CLINIC INC
NPI: 1386727691
· KENDALLVILLE, IN 46755
· General Practice Dentistry
· NPI assigned 10/23/2006
$177K
Total Medicaid Paid
Provider Details
| Authorized Official | THOMPSON, JOHN (OWNER PRES) |
| NPI Enumeration Date | 10/23/2006 |
Related Entities
Other providers sharing the same authorized official: THOMPSON, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,703 |
$5K |
| 2019 |
1,918 |
$47K |
| 2020 |
1,886 |
$51K |
| 2021 |
1,732 |
$48K |
| 2022 |
1,040 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
1,079 |
968 |
$37K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,223 |
2,033 |
$35K |
| D0120 |
Periodic oral evaluation - established patient |
2,178 |
2,000 |
$35K |
| D1120 |
Prophylaxis - child |
1,334 |
1,231 |
$30K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
490 |
421 |
$13K |
| D0274 |
Bitewings - four radiographic images |
420 |
384 |
$10K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
97 |
54 |
$6K |
| D1351 |
Sealant - per tooth |
153 |
26 |
$4K |
| D0272 |
Bitewings - two radiographic images |
209 |
185 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
96 |
77 |
$3K |