Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DENTAL HEALTH ASSOCIATES OF INDIANA

NPI: 1396936126 · INDIANAPOLIS, IN 46229 · General Practice Dentistry · NPI assigned 08/07/2007

$2K
Total Medicaid Paid
680
Total Claims
638
Beneficiaries
8
Codes Billed
2018-02
First Month
2018-10
Last Month

Provider Details

Authorized OfficialANGELL, BRADLEY (OWNER)
NPI Enumeration Date08/07/2007

Related Entities

Other providers sharing the same authorized official: ANGELL, BRADLEY

ProviderCityStateTotal Paid
DENTAL HEALTH SPECIALISTS OF KENTUCKY NEW ALBANY IN $11K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 680 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 143 137 $573.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 45 25 $433.58
D0274 Bitewings - four radiographic images 52 49 $281.36
D0120 Periodic oral evaluation - established patient 165 158 $270.96
D1206 Topical application of fluoride varnish 133 131 $244.75
D0150 Comprehensive oral evaluation - new or established patient 63 61 $177.50
D0210 Intraoral - complete series of radiographic images 19 17 $72.25
D1120 Prophylaxis - child 60 60 $34.50