Medicaid Provider Spending

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

IMMEDIADENT OF INDIANA, P.C.

NPI: 1407249246 · INDIANAPOLIS, IN 46227 · Dentist · NPI assigned 03/17/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LONG, MONICA controls 13+ related entities in our dataset. Read more

$309K
Total Medicaid Paid
11,008
Total Claims
7,011
Beneficiaries
22
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialLONG, MONICA (MANAGER OF PROVIDER CREDENTIALING)
Parent OrganizationIMMEDIADENT OF INDIANA, P.C.
NPI Enumeration Date03/17/2015

Related Entities

Other providers sharing the same authorized official: LONG, MONICA

ProviderCityStateTotal Paid
DENTAL SERVICES OF INDIANA, P.C. INDIANAPOLIS IN $640K
IMMEDIADENT OF INDIANA, P.C. ANDERSON IN $619K
IMMEDIADENT OF INDIANA, P.C. INDIANAPOLIS IN $577K
IMMEDIADENT OF INDIANA, P.C. INDIANAPOLIS IN $449K
IMMEDIADENT OF INDIANA, P.C. INDIANAPOLIS IN $380K
IMMEDIADENT OF INDIANA, P.C. NEW ALBANY IN $378K
IMMEDIADENT OF INDIANA, P.C. CLARKSVILLE IN $367K
DENTAL SERVICES OF INDIANA, P.C. MERRILLVILLE IN $312K
DENTAL SERVICES OF INDIANA, P.C. SCHERERVILLE IN $241K
DENTAL SERVICES OF OHIO, INC SOUTH EUCLID OH $224K
IMMEDIADENT OF INDIANA, P.C. INDIANAPOLIS IN $188K
DENTAL SERVICES OF OHIO, JAMES G. TURK, DDS,& DENEAN R. CARR, DDS, INC MIDDLEBURG HEIGHTS OH $41K
DENTAL SERVICES OF OHIO, INC CINCINNATI OH $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,049 $105K
2019 4,660 $194K
2020 299 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7140 Extraction, erupted tooth or exposed root 1,951 604 $99K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 865 420 $39K
D0210 Intraoral - complete series of radiographic images 1,083 859 $36K
D0150 Comprehensive oral evaluation - new or established patient 1,003 892 $23K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 368 205 $20K
D1110 Prophylaxis - adult 529 477 $16K
D0120 Periodic oral evaluation - established patient 923 827 $14K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 205 135 $10K
D0140 Limited oral evaluation - problem focused 424 379 $10K
D0274 Bitewings - four radiographic images 415 373 $9K
D2391 Resin-based composite - one surface, posterior, primary or permanent 331 173 $9K
D0230 Intraoral - periapical each additional radiographic image 1,276 503 $8K
D0220 Intraoral - periapical first radiographic image 766 674 $6K
D1208 Topical application of fluoride, excluding varnish 325 278 $4K
D1351 Sealant - per tooth 318 44 $2K
D0330 Panoramic radiographic image 46 40 $2K
D1120 Prophylaxis - child 74 58 $1K
D2332 19 12 $669.48
D2335 21 13 $464.22
D2394 26 14 $344.03
D0272 Bitewings - two radiographic images 23 16 $248.10
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 17 15 $30.95