Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BUTLER DENTAL GROUP, LLC

NPI: 1679094775 · BUTLER, IN 46721 · General Practice Dentistry · NPI assigned 06/29/2017

$87K
Total Medicaid Paid
3,799
Total Claims
3,513
Beneficiaries
11
Codes Billed
2018-01
First Month
2021-01
Last Month

Provider Details

Authorized OfficialSHAMBAUGH, JEFFREY (MANAGER)
NPI Enumeration Date06/29/2017

Related Entities

Other providers sharing the same authorized official: SHAMBAUGH, JEFFREY

ProviderCityStateTotal Paid
JEFFREY J. SHAMBAUGH DMD PC FORT WAYNE IN $95K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,025 $5K
2019 1,326 $39K
2020 1,290 $38K
2021 158 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 560 531 $20K
D0120 Periodic oral evaluation - established patient 1,074 1,019 $18K
D1206 Topical application of fluoride varnish 932 867 $14K
D1120 Prophylaxis - child 613 571 $14K
D2150 Silver amalgam - two surfaces, primary or permanent 129 75 $8K
D0274 Bitewings - four radiographic images 213 206 $6K
D0272 Bitewings - two radiographic images 125 113 $2K
D0330 Panoramic radiographic image 39 38 $2K
D0150 Comprehensive oral evaluation - new or established patient 80 64 $2K
D0210 Intraoral - complete series of radiographic images 14 14 $473.95
D0100 20 15 $0.00