8840 MICHIGAN ROAD DENTAL, LLC
NPI: 1487410551
· INDIANAPOLIS, IN 46268
· General Practice Dentistry
· NPI assigned 02/26/2024
$100K
Total Medicaid Paid
Provider Details
| Authorized Official | STRATMAN, DEAN (OWNER) |
| NPI Enumeration Date | 02/26/2024 |
Related Entities
Other providers sharing the same authorized official: STRATMAN, DEAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
1,220 |
$100K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
391 |
223 |
$68K |
| D0330 |
Panoramic radiographic image |
405 |
392 |
$19K |
| D0140 |
Limited oral evaluation - problem focused |
424 |
405 |
$13K |