SALEM FAMILY DENTAL, LLC
NPI: 1437669967
· SALEM, IN
$872K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,317 |
$17K |
| 2019 |
3,779 |
$131K |
| 2020 |
3,414 |
$120K |
| 2021 |
3,961 |
$140K |
| 2022 |
4,316 |
$148K |
| 2023 |
4,583 |
$153K |
| 2024 |
3,845 |
$163K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
3,840 |
3,740 |
$173K |
| D0120 |
|
6,194 |
5,995 |
$132K |
| D2392 |
|
1,745 |
1,092 |
$126K |
| D1208 |
|
4,985 |
4,826 |
$97K |
| D1120 |
|
2,746 |
2,634 |
$83K |
| D0274 |
|
2,075 |
2,009 |
$74K |
| D0330 |
|
1,132 |
1,087 |
$56K |
| D9230 |
|
1,866 |
1,743 |
$47K |
| D2391 |
|
898 |
554 |
$41K |
| D0150 |
|
563 |
538 |
$20K |
| D0140 |
|
344 |
326 |
$11K |
| D0220 |
|
484 |
457 |
$5K |
| D0272 |
|
242 |
238 |
$3K |
| D2331 |
|
14 |
12 |
$2K |
| D2330 |
|
17 |
12 |
$1K |
| D1351 |
|
51 |
12 |
$1K |
| D0230 |
|
19 |
13 |
$154.00 |