FAMILIA DENTAL SPFW PLLC
NPI: 1619388063
· FORT WAYNE, IN 46806
· 261QD0000X
$4.45M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| 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 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7140 |
|
7,387 |
2,875 |
$508K |
| D1351 |
|
22,820 |
3,376 |
$477K |
| D1110 |
|
11,110 |
9,361 |
$431K |
| D7210 |
|
2,022 |
1,268 |
$309K |
| D0274 |
|
11,084 |
9,336 |
$305K |
| D0150 |
|
9,202 |
7,873 |
$277K |
| D0120 |
|
14,083 |
11,840 |
$254K |
| D1120 |
|
9,190 |
7,819 |
$235K |
| D2392 |
|
2,868 |
1,692 |
$211K |
| D0230 |
|
29,427 |
17,225 |
$210K |
| D0220 |
|
20,987 |
17,324 |
$203K |
| D2391 |
|
2,687 |
1,483 |
$158K |
| D0140 |
|
3,487 |
3,068 |
$121K |
| D1208 |
|
8,915 |
6,917 |
$118K |
| D1206 |
|
5,308 |
5,078 |
$116K |
| D0272 |
|
6,144 |
5,120 |
$107K |
| D2150 |
|
1,857 |
828 |
$85K |
| D0330 |
|
1,967 |
1,744 |
$84K |
| D0210 |
|
1,882 |
1,560 |
$55K |
| D2140 |
|
1,148 |
588 |
$44K |
| D2393 |
|
444 |
324 |
$42K |
| D4346 |
|
239 |
206 |
$37K |
| D4341 |
|
248 |
85 |
$27K |
| D1354 |
|
84 |
20 |
$8K |
| D2331 |
|
66 |
38 |
$6K |
| D2335 |
|
39 |
28 |
$6K |
| D9230 |
|
159 |
135 |
$4K |
| D7111 |
|
55 |
24 |
$3K |
| D2160 |
|
80 |
53 |
$2K |
| D1999 |
|
3,781 |
1,992 |
$1K |
| D0145 |
|
35 |
30 |
$888.72 |
| D4342 |
|
49 |
15 |
$712.82 |