MIDWEST PERIODONTAL AND ORAL RECONSTRUCTION, P.C.
NPI: 1649359886
· INDIANAPOLIS, IN 46202
· Periodontist
· NPI assigned 11/06/2006
Provider Details
| Authorized Official | MILLS, BRIGITTE (DIRECTOR OF BUSINESS AFFAIRS) |
| NPI Enumeration Date | 11/06/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
151 |
$302.71 |
| 2019 |
192 |
$5K |
| 2020 |
311 |
$10K |
| 2021 |
302 |
$10K |
| 2022 |
154 |
$5K |
| 2023 |
163 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
381 |
330 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
531 |
457 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
114 |
95 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
43 |
24 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
129 |
113 |
$2K |
| D1120 |
Prophylaxis - child |
41 |
35 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$825.60 |
| D0274 |
Bitewings - four radiographic images |
22 |
15 |
$488.16 |