LAFAYETTE PEDIATRIC DENTISTRY & ORTHODONTICS
NPI: 1477869378
· LAFAYETTE, IN 47904
· Dentist
· NPI assigned 08/30/2010
$4.11M
Total Medicaid Paid
Provider Details
| Authorized Official | SAMMONS, EDWARD (DENTIST) |
| NPI Enumeration Date | 08/30/2010 |
Related Entities
Other providers sharing the same authorized official: SAMMONS, EDWARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14,829 |
$65K |
| 2019 |
16,912 |
$629K |
| 2020 |
15,185 |
$557K |
| 2021 |
18,153 |
$669K |
| 2022 |
17,085 |
$628K |
| 2023 |
19,255 |
$739K |
| 2024 |
17,759 |
$819K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
4,979 |
2,224 |
$649K |
| D0120 |
|
23,177 |
22,435 |
$467K |
| D1120 |
|
15,498 |
14,985 |
$423K |
| D2392 |
|
6,654 |
4,471 |
$410K |
| D1110 |
|
9,444 |
9,158 |
$405K |
| D1206 |
|
12,985 |
12,641 |
$295K |
| D9230 |
|
9,647 |
8,139 |
$266K |
| D0272 |
|
11,576 |
11,209 |
$249K |
| D7140 |
|
2,989 |
1,767 |
$212K |
| D0330 |
|
3,601 |
3,461 |
$195K |
| D2391 |
|
3,487 |
2,764 |
$166K |
| D1208 |
|
10,088 |
9,676 |
$161K |
| D0150 |
|
2,696 |
2,604 |
$89K |
| D3220 |
|
554 |
332 |
$55K |
| D0140 |
|
561 |
532 |
$16K |
| D2330 |
|
227 |
154 |
$16K |
| D2332 |
|
153 |
103 |
$14K |
| D0220 |
|
632 |
595 |
$7K |
| D2331 |
|
66 |
38 |
$6K |
| D2393 |
|
57 |
55 |
$4K |
| D1351 |
|
67 |
30 |
$2K |
| D0274 |
|
26 |
25 |
$844.08 |
| D3120 |
|
14 |
12 |
$0.00 |