NPI: 1467792663 · FORT WAYNE, IN 46825 · Dental Clinic/Center · NPI assigned 02/25/2013
Authorized official TAYLOR, BRANDON controls 20+ related entities in our dataset. Read more
| Authorized Official | TAYLOR, BRANDON (CREDENTIALING PAYER RELATIONS MGR) |
| NPI Enumeration Date | 02/25/2013 |
Other providers sharing the same authorized official: TAYLOR, BRANDON
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 33,897 | $119K |
| 2019 | 34,864 | $1.06M |
| 2020 | 43,331 | $700K |
| 2021 | 53,616 | $1.30M |
| 2022 | 47,764 | $1.84M |
| 2023 | 49,816 | $2.06M |
| 2024 | 39,752 | $1.63M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 7,768 | 3,440 | $1.23M |
| D1351 | Sealant - per tooth | 44,825 | 6,954 | $955K |
| D1110 | Prophylaxis - adult | 16,298 | 13,909 | $633K |
| D7140 | Extraction, erupted tooth or exposed root | 7,896 | 3,107 | $541K |
| D0274 | Bitewings - four radiographic images | 18,386 | 15,541 | $511K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14,776 | 12,636 | $458K |
| D0120 | Periodic oral evaluation - established patient | 24,141 | 20,687 | $446K |
| D1120 | Prophylaxis - child | 16,472 | 14,081 | $426K |
| D4346 | 2,022 | 1,758 | $346K | |
| D0230 | Intraoral - periapical each additional radiographic image | 38,632 | 27,846 | $302K |
| D0220 | Intraoral - periapical first radiographic image | 32,891 | 27,157 | $297K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4,425 | 2,555 | $276K |
| D1206 | Topical application of fluoride varnish | 13,050 | 11,928 | $254K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5,137 | 2,598 | $240K |
| D0330 | Panoramic radiographic image | 5,095 | 4,360 | $220K |
| D0272 | Bitewings - two radiographic images | 10,789 | 9,011 | $187K |
| D1208 | Topical application of fluoride, excluding varnish | 12,005 | 9,683 | $157K |
| D0140 | Limited oral evaluation - problem focused | 4,864 | 4,130 | $154K |
| D1354 | 1,725 | 389 | $148K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2,589 | 1,411 | $122K |
| D4341 | 1,513 | 341 | $101K | |
| D0210 | Intraoral - complete series of radiographic images | 4,708 | 3,650 | $99K |
| D7240 | Removal of impacted tooth - completely bony | 230 | 110 | $76K |
| D2335 | 646 | 309 | $71K | |
| D7311 | 546 | 370 | $70K | |
| D7220 | 329 | 206 | $63K | |
| D7230 | 218 | 129 | $60K | |
| D2140 | 1,445 | 850 | $48K | |
| D7111 | 788 | 399 | $47K | |
| D2330 | 748 | 348 | $45K | |
| D2332 | 353 | 202 | $29K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 432 | 279 | $27K |
| D2331 | 396 | 252 | $25K | |
| D2160 | 350 | 254 | $19K | |
| D7310 | 45 | 26 | $9K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 321 | 286 | $9K |
| D5110 | 12 | 12 | $4K | |
| D1999 | 6,028 | 3,252 | $3K | |
| D4910 | 36 | 29 | $3K | |
| D0145 | Oral evaluation for a patient under three years of age | 29 | 29 | $1K |
| D4342 | 65 | 15 | $1K | |
| D9248 | 16 | 12 | $744.84 |