AFFORDABLE DENTURES & IMPLANTS - FORT WAYNE II, P.C.
NPI: 1679043988
· FORT WAYNE, IN 46804
· Dentist
· NPI assigned 11/29/2018
$1.20M
Total Medicaid Paid
Provider Details
| Authorized Official | LEWIS, TED (OWNER) |
| NPI Enumeration Date | 11/29/2018 |
Related Entities
Other providers sharing the same authorized official: LEWIS, TED
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
26 |
$361.32 |
| 2019 |
1,742 |
$163K |
| 2020 |
2,551 |
$233K |
| 2021 |
4,184 |
$432K |
| 2022 |
3,083 |
$370K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
5,440 |
487 |
$382K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,957 |
385 |
$264K |
| D5110 |
|
575 |
476 |
$197K |
| D0330 |
Panoramic radiographic image |
1,623 |
1,395 |
$92K |
| D5120 |
|
254 |
212 |
$86K |
| D5130 |
|
221 |
187 |
$84K |
| D5140 |
|
120 |
102 |
$45K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,220 |
1,079 |
$30K |
| D7310 |
|
118 |
28 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
58 |
52 |
$1K |