AFFORDABLE DENTURES - SOUTH BEND, P.C.
NPI: 1477793123
· MISHAWAKA, IN 46545
· Dentist
· NPI assigned 02/20/2009
$719K
Total Medicaid Paid
Provider Details
| Authorized Official | BIANCO, RUDY (PRACTICE OWNER) |
| NPI Enumeration Date | 02/20/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
750 |
$2K |
| 2019 |
558 |
$36K |
| 2020 |
798 |
$73K |
| 2021 |
1,337 |
$167K |
| 2022 |
1,150 |
$132K |
| 2023 |
2,031 |
$236K |
| 2024 |
721 |
$73K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D5110 |
|
416 |
357 |
$173K |
| D5130 |
|
320 |
267 |
$132K |
| D0330 |
Panoramic radiographic image |
2,305 |
2,064 |
$126K |
| D5140 |
|
276 |
240 |
$108K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,327 |
137 |
$90K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,766 |
1,638 |
$37K |
| D5750 |
|
110 |
99 |
$21K |
| D0140 |
Limited oral evaluation - problem focused |
566 |
524 |
$15K |
| D5120 |
|
33 |
28 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
226 |
188 |
$5K |