Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › SCOTTSBURG › DENTAL PROFESSIONALS OF INDIANA, P.C.

DENTAL PROFESSIONALS OF INDIANA, P.C.

NPI: 1629745963 · SCOTTSBURG, IN 47170 · General Practice Dentistry · NPI assigned 08/25/2021

$8K
Total Medicaid Paid
566
Total Claims
312
Beneficiaries
6
Codes Billed
2022-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialLEMKE, TABATHA (CREDENTIALING COORDINATOR)
Parent OrganizationDENTAL PROFESSIONALS OF IN, P.C.
NPI Enumeration Date08/25/2021

Related Entities

Other providers sharing the same authorized official: LEMKE, TABATHA

ProviderCityStateTotal Paid
DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C. MOREHEAD KY $106K
DENTAL HEALTH PROFESSIONALS OF KENTUCKY, P.S.C. MOUNT STERLING KY $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 257 $4K
2023 309 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 132 85 $3K
D0120 Periodic oral evaluation - established patient 210 122 $2K
D0274 Bitewings - four radiographic images 40 25 $813.84
D0230 Intraoral - periapical each additional radiographic image 85 27 $468.80
D0220 Intraoral - periapical first radiographic image 74 41 $435.95
D1206 Topical application of fluoride varnish 25 12 $131.30