BOLON, REBECCA
NPI: 1497869614
· INDIANAPOLIS, IN 46260
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 08/17/2006
$9.02M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
463 |
$121K |
| 2019 |
822 |
$1.72M |
| 2020 |
747 |
$1.25M |
| 2021 |
851 |
$1.54M |
| 2022 |
1,346 |
$1.62M |
| 2023 |
2,302 |
$1.60M |
| 2024 |
1,717 |
$1.16M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
2,981 |
2,772 |
$8.80M |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,851 |
2,714 |
$94K |
| D0330 |
Panoramic radiographic image |
1,484 |
1,381 |
$80K |
| D0340 |
|
902 |
850 |
$39K |
| D0210 |
Intraoral - complete series of radiographic images |
30 |
30 |
$231.90 |