FAMILIA DENTAL TERRE HAUTE LLC
NPI: 1619433737
· TERRE HAUTE, IN 47803
· 1223G0001X
$2.75M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
7,531 |
$196K |
| 2020 |
19,070 |
$352K |
| 2021 |
22,663 |
$441K |
| 2022 |
9,946 |
$346K |
| 2023 |
13,692 |
$651K |
| 2024 |
14,138 |
$760K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
|
3,870 |
1,260 |
$269K |
| D2392 |
|
3,725 |
1,670 |
$251K |
| D0150 |
|
7,345 |
5,628 |
$233K |
| D1110 |
|
5,131 |
4,088 |
$219K |
| D7210 |
|
1,116 |
610 |
$188K |
| D1351 |
|
8,785 |
1,032 |
$183K |
| D1120 |
|
5,783 |
4,446 |
$160K |
| D0330 |
|
2,276 |
2,173 |
$141K |
| D1206 |
|
7,544 |
5,860 |
$134K |
| D2391 |
|
2,583 |
1,117 |
$120K |
| D0120 |
|
5,477 |
4,479 |
$112K |
| D0140 |
|
3,191 |
2,689 |
$107K |
| D0274 |
|
3,402 |
2,556 |
$98K |
| D1354 |
|
1,337 |
372 |
$87K |
| D0220 |
|
7,569 |
5,624 |
$79K |
| D0230 |
|
10,538 |
4,845 |
$76K |
| D0210 |
|
1,632 |
1,093 |
$65K |
| D2393 |
|
609 |
385 |
$59K |
| D4346 |
|
333 |
312 |
$59K |
| D2332 |
|
412 |
220 |
$45K |
| D0272 |
|
1,382 |
965 |
$24K |
| D2335 |
|
120 |
61 |
$18K |
| D2330 |
|
101 |
54 |
$9K |
| D0270 |
|
280 |
245 |
$4K |
| D2394 |
|
23 |
13 |
$3K |
| D2331 |
|
22 |
12 |
$2K |
| D7111 |
|
19 |
12 |
$1K |
| D1999 |
|
2,400 |
1,152 |
$900.17 |
| D0145 |
|
35 |
26 |
$685.15 |