NPI: 1497416366 · LINTON, IN 47441 · Dental Clinic/Center · NPI assigned 01/04/2022
| Authorized Official | KELLETT, STEVEN (OWNER) |
| NPI Enumeration Date | 01/04/2022 |
Other providers sharing the same authorized official: KELLETT, STEVEN
| Provider | City | State | Total Paid |
|---|---|---|---|
| SHAKAMAK FAMILY DENTISTRY, LLC | JASONVILLE | IN | $271K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 2,768 | $117K |
| 2023 | 2,899 | $116K |
| 2024 | 2,099 | $79K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 1,627 | 1,554 | $85K | |
| D0120 | 1,789 | 1,707 | $43K | |
| D0274 | 933 | 895 | $34K | |
| D2392 | 356 | 272 | $29K | |
| D0330 | 418 | 407 | $27K | |
| D7140 | 231 | 102 | $18K | |
| D1206 | 817 | 789 | $18K | |
| D0150 | 414 | 407 | $16K | |
| D0140 | 388 | 376 | $15K | |
| D2391 | 145 | 117 | $9K | |
| D1120 | 195 | 190 | $6K | |
| D2393 | 54 | 51 | $5K | |
| D0220 | 361 | 336 | $5K | |
| D0210 | 16 | 15 | $1K | |
| D0230 | 22 | 12 | $268.00 |