HEALTHY SMILES OF INDIANA, INC
NPI: 1609969567
· INDIANAPOLIS, IN 46229
· General Practice Dentistry
· NPI assigned 10/02/2006
$980K
Total Medicaid Paid
Provider Details
| Authorized Official | HAMER, SCOTT (PRESIDENT) |
| NPI Enumeration Date | 10/02/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,363 |
$13K |
| 2019 |
7,860 |
$206K |
| 2020 |
2,808 |
$73K |
| 2021 |
5,586 |
$147K |
| 2022 |
6,714 |
$176K |
| 2023 |
7,312 |
$191K |
| 2024 |
5,526 |
$174K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
8,017 |
7,751 |
$247K |
| D1351 |
Sealant - per tooth |
7,978 |
2,203 |
$191K |
| D0120 |
Periodic oral evaluation - established patient |
8,804 |
8,498 |
$177K |
| D0272 |
Bitewings - two radiographic images |
8,069 |
7,791 |
$172K |
| D1208 |
Topical application of fluoride, excluding varnish |
8,718 |
8,414 |
$169K |
| D1110 |
Prophylaxis - adult |
583 |
555 |
$24K |