42 NORTH DENTAL CARE OF INDIANA, LLC

NPI: 1477202919 · MUNCIE, IN 47303 · Dental Clinic/Center · NPI assigned 03/22/2022

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official SCIALABBA, MICHAEL controls 13+ related entities in our dataset. Read more

$36K

Total Medicaid Paid

2,254

Total Claims

1,447

Beneficiaries

Codes Billed

2023-01

First Month

2024-10

Last Month

Provider Details

Authorized Official	SCIALABBA, MICHAEL (CHIEF CLINICAL OFFICER)
Parent Organization	42 NORTH DENTAL CARE OF INDIANA, LLC
NPI Enumeration Date	03/22/2022

Other providers sharing the same authorized official: SCIALABBA, MICHAEL

Provider	City	State	Total Paid
42 NORTH DENTAL CARE, LLC	WALTHAM	MA	$2.23M
42 NORTH DENTAL CARE, LLC	MANSFIELD	MA	$1.17M
42 NORTH DENTAL CARE, LLC	WATERTOWN	MA	$339K
42 NORTH DENTAL CARE, LLC	CAMBRIDGE	MA	$138K
42 NORTH DENTAL CARE OF MICHIGAN, PLLC	BLISSFIELD	MI	$70K
42 NORTH DENTAL CARE, LLC	BROOKLINE	MA	$40K
42 NORTH DENTAL CARE OF MICHIGAN, PLLC	ALMONT	MI	$27K
42 NORTH DENTAL CARE OF MICHIGAN, PLLC	CHARLOTTE	MI	$16K
42 NORTH DENTAL ORAL SURGERY OF MA, PLLC	QUINCY	MA	$15K
42 NORTH DENTAL CARE OF MICHIGAN, PLLC	HOWELL	MI	$3K
42 NORTH DENTAL CARE PLLC	SOUTHBURY	CT	$0.00
42 NORTH DENTAL CARE PLLC	WATERBURY	CT	$0.00
42 NORTH DENTAL CARE PLLC	MANCHESTER	CT	$0.00

Year	Claims	Total Paid
2023	1,413	$18K
2024	841	$18K

Code	Description	Claims	Beneficiaries	Total Paid
D1110	Prophylaxis - adult	756	472	$17K
D0120	Periodic oral evaluation - established patient	898	592	$11K
D0274	Bitewings - four radiographic images	280	184	$5K
D0220	Intraoral - periapical first radiographic image	169	103	$765.18
D0150	Comprehensive oral evaluation - new or established patient	20	17	$668.72
D0140	Limited oral evaluation - problem focused	30	26	$649.26
D0230	Intraoral - periapical each additional radiographic image	67	37	$498.68
D1206	Topical application of fluoride varnish	34	16	$66.75