MFDC OF INDIANA, INC

NPI: 1619462215 · WESTFIELD, IN 46074 · General Practice Dentistry · NPI assigned 06/26/2018

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official REIBEL, JEFF controls 20+ related entities in our dataset. Read more

$167K

Total Medicaid Paid

4,148

Total Claims

3,466

Beneficiaries

Codes Billed

2019-03

First Month

2024-11

Last Month

Provider Details

Authorized Official	REIBEL, JEFF (CFO)
NPI Enumeration Date	06/26/2018

Other providers sharing the same authorized official: REIBEL, JEFF

Provider	City	State	Total Paid
ABBEVILLE DENTISTRY - LUBBOCK PUEBLO, PLLC	LUBBOCK	TX	$6.30M
ABBEVILLE FAMILY DENTISTRY	LUBBOCK	TX	$4.42M
KIDS DENTISTREE OF KY LLC	LOUISVILLE	KY	$3.20M
KIDS DENTISTREE OF IN, LLC	NEW ALBANY	IN	$3.20M
KIDS DENTISTREE OF IN, LLC	AVON	IN	$2.68M
ORAL SURGERY GROUP OF FRANKFORT, PLLC	FRANKFORT	KY	$2.66M
SPECIALIZED DENTAL SERVICES.PLLC	LOUISVILLE	KY	$2.29M
KIDS DENTISTREE OF IN, LLC	SCOTTSBURG	IN	$2.24M
MORTENSON FAMILY DENTAL CENTER-FRANKFORT, PLLC	FRANKFORT	KY	$1.74M
MORTENSON FAMILY DENTAL CENTER - INDEPENDENCE, LLC	INDEPENDENCE	KY	$1.39M
MFDC OF INDIANA, INC	SCOTTSBURG	IN	$984K
MFDC OF INDIANA, INC	INDIANAPOLIS	IN	$959K
MORTENSON FAMILY DENTAL CENTER - BARDSTOWN, PLLC	BARDSTOWN	KY	$796K
MORTENSON FAMILY DENTAL - SEYMOUR, LLC	SEYMOUR	IN	$788K
MFDC OF KY LLC	DRY RIDGE	KY	$679K
MFDC OF INDIANA, INC	AVON	IN	$648K
ABBEVILLE DENTISTRY - LEVELLAND PLLC	LEVELLAND	TX	$593K
MORTENSON FAMILY DENTAL CENTER - MAINEVILLE LLC	MAINEVILLE	OH	$482K
KIDS DENTISTREE OF KY LLC	GEORGETOWN	KY	$469K
MFDC OF INDIANA, INC	GREENWOOD	IN	$443K

Code	Description	Claims	Beneficiaries	Total Paid
D1110	Prophylaxis - adult	865	800	$43K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	410	174	$32K
D0150	Comprehensive oral evaluation - new or established patient	809	726	$30K
D0210	Intraoral - complete series of radiographic images	515	428	$28K
D0120	Periodic oral evaluation - established patient	661	603	$15K
D0274	Bitewings - four radiographic images	215	203	$7K
D0140	Limited oral evaluation - problem focused	207	188	$7K
D0220	Intraoral - periapical first radiographic image	354	240	$3K
D1206	Topical application of fluoride varnish	100	92	$2K
D0330	Panoramic radiographic image	12	12	$578.52