NPI: 1487047387 · INDIANAPOLIS, IN 46250 · Dentist · NPI assigned 03/17/2015
Authorized official LONG, MONICA controls 13+ related entities in our dataset. Read more
| Authorized Official | LONG, MONICA (MANAGER OF PROVIDER CREDENTIALING) |
| Parent Organization | IMMEDIADENT OF INDIANA, P.C. |
| NPI Enumeration Date | 03/17/2015 |
Other providers sharing the same authorized official: LONG, MONICA
| Provider | City | State | Total 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 | $449K |
| 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 |
| 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,438 | $43K |
| 2019 | 2,975 | $136K |
| 2020 | 180 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 886 | 748 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 813 | 375 | $30K |
| D7140 | Extraction, erupted tooth or exposed root | 608 | 195 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | 765 | 697 | $17K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 404 | 210 | $17K |
| D1110 | Prophylaxis - adult | 467 | 442 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 446 | 193 | $11K |
| D0120 | Periodic oral evaluation - established patient | 753 | 708 | $11K |
| D0274 | Bitewings - four radiographic images | 447 | 414 | $9K |
| D0140 | Limited oral evaluation - problem focused | 314 | 280 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 504 | 452 | $5K |
| D0330 | Panoramic radiographic image | 34 | 28 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 98 | 38 | $858.00 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 31 | 27 | $663.06 |
| D2394 | 23 | 12 | $406.59 |