NPI: 1619388063 · FORT WAYNE, IN 46806 · Dental Clinic/Center · NPI assigned 05/19/2014
Authorized official TAYLOR, BRANDON controls 20+ related entities in our dataset. Read more
| Authorized Official | TAYLOR, BRANDON (CREDENTIALING PAYER RELATIONS MGR) |
| NPI Enumeration Date | 05/19/2014 |
Other providers sharing the same authorized official: TAYLOR, BRANDON
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 22,970 | $94K |
| 2019 | 26,833 | $741K |
| 2020 | 29,595 | $499K |
| 2021 | 32,595 | $613K |
| 2022 | 23,289 | $729K |
| 2023 | 26,652 | $1.02M |
| 2024 | 16,920 | $754K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 7,387 | 2,875 | $508K |
| D1351 | Sealant - per tooth | 22,820 | 3,376 | $477K |
| D1110 | Prophylaxis - adult | 11,110 | 9,361 | $431K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2,022 | 1,268 | $309K |
| D0274 | Bitewings - four radiographic images | 11,084 | 9,336 | $305K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9,202 | 7,873 | $277K |
| D0120 | Periodic oral evaluation - established patient | 14,083 | 11,840 | $254K |
| D1120 | Prophylaxis - child | 9,190 | 7,819 | $235K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2,868 | 1,692 | $211K |
| D0230 | Intraoral - periapical each additional radiographic image | 29,427 | 17,225 | $210K |
| D0220 | Intraoral - periapical first radiographic image | 20,987 | 17,324 | $203K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2,687 | 1,483 | $158K |
| D0140 | Limited oral evaluation - problem focused | 3,487 | 3,068 | $121K |
| D1208 | Topical application of fluoride, excluding varnish | 8,915 | 6,917 | $118K |
| D1206 | Topical application of fluoride varnish | 5,308 | 5,078 | $116K |
| D0272 | Bitewings - two radiographic images | 6,144 | 5,120 | $107K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1,857 | 828 | $85K |
| D0330 | Panoramic radiographic image | 1,967 | 1,744 | $84K |
| D0210 | Intraoral - complete series of radiographic images | 1,882 | 1,560 | $55K |
| D2140 | 1,148 | 588 | $44K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 444 | 324 | $42K |
| D4346 | 239 | 206 | $37K | |
| D4341 | 248 | 85 | $27K | |
| D1354 | 84 | 20 | $8K | |
| D2331 | 66 | 38 | $6K | |
| D2335 | 39 | 28 | $6K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 159 | 135 | $4K |
| D7111 | 55 | 24 | $3K | |
| D2160 | 80 | 53 | $2K | |
| D1999 | 3,781 | 1,992 | $1K | |
| D0145 | Oral evaluation for a patient under three years of age | 35 | 30 | $888.72 |
| D4342 | 49 | 15 | $712.82 |