NPI: 1487284253 · SCHERERVILLE, IN 46375 · General Practice Dentistry · NPI assigned 01/21/2020
| Authorized Official | PATEL, ANKIT (OWNER) |
| NPI Enumeration Date | 01/21/2020 |
Other providers sharing the same authorized official: PATEL, ANKIT
| Provider | City | State | Total Paid |
|---|---|---|---|
| COLUMBUS DENTAL CORP | COLUMBUS | IN | $6.43M |
| QUEEN CITY DENTAL LLC | CINCINNATI | OH | $2.72M |
| ANDERSON DENTAL LLC | ANDERSON | IN | $1.55M |
| NEDERLAND SMILE PC | TEXAS CITY | TX | $406K |
| INDY WEST DENTAL LLC | INDIANAPOLIS | IN | $324K |
| INDY EAST DENTAL LLC | INDIANAPOLIS | IN | $242K |
| SUSHKAP DENTAL PLLC | DICKINSON | TX | $183K |
| INDY SOUTH DENTAL LLC | INDIANAPOLIS | IN | $53K |
| UNIQ THERAPY SERVICES INC | WARMINSTER | PA | $9K |
| NILKANTH AMS, INC | CALEXICO | CA | $901.78 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 44 | $2K |
| 2022 | 478 | $22K |
| 2023 | 1,325 | $60K |
| 2024 | 479 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 316 | 162 | $25K |
| D0210 | Intraoral - complete series of radiographic images | 363 | 329 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 519 | 482 | $20K |
| D1110 | Prophylaxis - adult | 388 | 354 | $19K |
| D0120 | Periodic oral evaluation - established patient | 377 | 336 | $9K |
| D1206 | Topical application of fluoride varnish | 257 | 227 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 48 | 25 | $3K |
| D0140 | Limited oral evaluation - problem focused | 44 | 41 | $1K |
| D0274 | Bitewings - four radiographic images | 14 | 12 | $367.60 |