INDY AESTHETIC & IMPLANT DENTISTRY, LLC
NPI: 1649675836
· INDIANAPOLIS, IN 46203
· General Practice Dentistry
· NPI assigned 10/30/2014
$895K
Total Medicaid Paid
Provider Details
| Authorized Official | STRATMAN, DEAN (PRACTICE ADMINISTRATOR) |
| NPI Enumeration Date | 10/30/2014 |
Related Entities
Other providers sharing the same authorized official: STRATMAN, DEAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
462 |
$29K |
| 2020 |
3,249 |
$334K |
| 2021 |
4,182 |
$428K |
| 2022 |
929 |
$103K |
| 2024 |
33 |
$861.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
3,596 |
1,464 |
$635K |
| D0330 |
Panoramic radiographic image |
2,041 |
1,911 |
$130K |
| D0140 |
Limited oral evaluation - problem focused |
2,504 |
2,321 |
$97K |
| D7140 |
Extraction, erupted tooth or exposed root |
281 |
76 |
$22K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
162 |
129 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
195 |
178 |
$1K |
| D9248 |
|
44 |
40 |
$1K |
| D1110 |
Prophylaxis - adult |
19 |
12 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$437.92 |