Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CONNER DENTISTRY LLC

NPI: 1629354428 · WABASH, IN 46992 · Dentist · NPI assigned 10/25/2011

$7K
Total Medicaid Paid
660
Total Claims
595
Beneficiaries
6
Codes Billed
2018-01
First Month
2019-03
Last Month

Provider Details

Authorized OfficialCONNER, JOHN (MANAGING MEMBER/PRESIDENT)
NPI Enumeration Date10/25/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 563 $5K
2019 97 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 176 162 $4K
D1206 Topical application of fluoride varnish 194 184 $1K
D0120 Periodic oral evaluation - established patient 180 169 $1K
D2150 Silver amalgam - two surfaces, primary or permanent 53 25 $649.12
D0274 Bitewings - four radiographic images 28 28 $316.53
D1120 Prophylaxis - child 29 27 $0.00