Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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IMMEDIADENT OF INDIANA, P.C.

NPI: 1477946374 · INDIANAPOLIS, IN 46219 · Dentist · NPI assigned 03/17/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LONG, MONICA controls 13+ related entities in our dataset. Read more

$449K
Total Medicaid Paid
15,498
Total Claims
10,017
Beneficiaries
21
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialLONG, MONICA (MANAGER OF PROVIDER CREDENTIALING)
Parent OrganizationIMMEDIADENT OF INDIANA, P.C.
NPI Enumeration Date03/17/2015

Related Entities

Other providers sharing the same authorized official: LONG, MONICA

ProviderCityStateTotal Paid
DENTAL SERVICES OF INDIANA, P.C. INDIANAPOLIS IN $640K
IMMEDIADENT OF INDIANA, P.C. ANDERSON IN $619K
IMMEDIADENT OF INDIANA, P.C. INDIANAPOLIS IN $577K
IMMEDIADENT OF INDIANA, P.C. INDIANAPOLIS IN $380K
IMMEDIADENT OF INDIANA, P.C. NEW ALBANY IN $378K
IMMEDIADENT OF INDIANA, P.C. CLARKSVILLE IN $367K
DENTAL SERVICES OF INDIANA, P.C. MERRILLVILLE IN $312K
IMMEDIADENT OF INDIANA, P.C. INDIANAPOLIS IN $309K
DENTAL SERVICES OF INDIANA, P.C. SCHERERVILLE IN $241K
DENTAL SERVICES OF OHIO, INC SOUTH EUCLID OH $224K
IMMEDIADENT OF INDIANA, P.C. INDIANAPOLIS IN $188K
DENTAL SERVICES OF OHIO, JAMES G. TURK, DDS,& DENEAN R. CARR, DDS, INC MIDDLEBURG HEIGHTS OH $41K
DENTAL SERVICES OF OHIO, INC CINCINNATI OH $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,233 $151K
2019 5,996 $288K
2020 269 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7140 Extraction, erupted tooth or exposed root 2,931 946 $123K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 1,138 614 $98K
D0210 Intraoral - complete series of radiographic images 1,611 1,318 $49K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,264 553 $43K
D0150 Comprehensive oral evaluation - new or established patient 1,534 1,324 $27K
D2391 Resin-based composite - one surface, posterior, primary or permanent 538 278 $15K
D0274 Bitewings - four radiographic images 880 759 $15K
D1110 Prophylaxis - adult 582 507 $14K
D0120 Periodic oral evaluation - established patient 1,253 1,091 $14K
D0140 Limited oral evaluation - problem focused 649 545 $13K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 422 241 $12K
D0330 Panoramic radiographic image 307 253 $8K
D0220 Intraoral - periapical first radiographic image 953 802 $6K
D0230 Intraoral - periapical each additional radiographic image 650 265 $3K
D7250 90 67 $3K
D1206 Topical application of fluoride varnish 162 137 $2K
D4346 40 37 $1K
D1120 Prophylaxis - child 166 138 $1K
D1208 Topical application of fluoride, excluding varnish 142 104 $761.26
D2332 22 13 $446.32
D1351 Sealant - per tooth 164 25 $0.00