MICHIANA FAMILY DENTAL LLC
NPI: 1467946467
· SOUTH BEND, IN 46628
· 122300000X
$3.01M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
2,100 |
$52K |
| 2020 |
7,140 |
$239K |
| 2021 |
13,542 |
$643K |
| 2022 |
18,184 |
$897K |
| 2023 |
14,894 |
$749K |
| 2024 |
8,843 |
$425K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7210 |
|
3,501 |
2,024 |
$638K |
| D0150 |
|
6,330 |
5,877 |
$251K |
| D1110 |
|
4,016 |
3,752 |
$208K |
| D0274 |
|
5,385 |
4,963 |
$196K |
| D7140 |
|
2,258 |
903 |
$196K |
| D4346 |
|
1,010 |
918 |
$195K |
| D2392 |
|
2,158 |
1,361 |
$180K |
| D0140 |
|
3,393 |
3,154 |
$142K |
| D2391 |
|
2,201 |
1,230 |
$140K |
| D1351 |
|
4,800 |
697 |
$129K |
| D0330 |
|
2,353 |
2,168 |
$123K |
| D0210 |
|
2,281 |
1,653 |
$98K |
| D0220 |
|
7,332 |
6,614 |
$93K |
| D0120 |
|
3,084 |
2,882 |
$77K |
| D0230 |
|
7,964 |
5,509 |
$75K |
| D1206 |
|
2,883 |
2,703 |
$59K |
| D1120 |
|
1,906 |
1,802 |
$55K |
| D1354 |
|
649 |
147 |
$52K |
| D2393 |
|
292 |
218 |
$28K |
| D7250 |
|
105 |
52 |
$22K |
| D4341 |
|
147 |
43 |
$19K |
| D2335 |
|
110 |
53 |
$17K |
| D0272 |
|
485 |
452 |
$11K |
| D2332 |
|
14 |
12 |
$2K |
| D1999 |
|
46 |
38 |
$30.00 |