DENTAL SAFARI CO INDIANA, LLC
NPI: 1669927786
· BROWNSBURG, IN 46112
· Dentist
· NPI assigned 08/18/2016
$1.75M
Total Medicaid Paid
Provider Details
| Authorized Official | MORLEY, MELISSA (OWNER/PRESIDENT) |
| NPI Enumeration Date | 08/18/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,447 |
$12K |
| 2019 |
6,420 |
$137K |
| 2020 |
3,066 |
$80K |
| 2021 |
8,221 |
$230K |
| 2022 |
14,310 |
$452K |
| 2023 |
14,621 |
$380K |
| 2024 |
17,559 |
$455K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1354 |
|
7,151 |
2,531 |
$491K |
| D1351 |
Sealant - per tooth |
17,778 |
4,482 |
$418K |
| D1120 |
Prophylaxis - child |
9,758 |
9,165 |
$285K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
8,156 |
7,650 |
$245K |
| D1206 |
Topical application of fluoride varnish |
10,397 |
9,762 |
$193K |
| D0120 |
Periodic oral evaluation - established patient |
3,928 |
3,730 |
$77K |
| D1110 |
Prophylaxis - adult |
518 |
482 |
$23K |
| D0272 |
Bitewings - two radiographic images |
343 |
331 |
$9K |
| D0274 |
Bitewings - four radiographic images |
132 |
130 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
43 |
41 |
$482.04 |
| D0602 |
|
3,961 |
3,683 |
$0.00 |
| D0601 |
|
5,335 |
5,024 |
$0.00 |
| D0603 |
|
1,144 |
1,072 |
$0.00 |