Medicaid Provider Spending

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

IMMEDIADENT OF INDIANA, P.C.

NPI: 1679966410 · INDIANAPOLIS, IN 46234 · Dentist · NPI assigned 03/17/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LONG, MONICA controls 13+ related entities in our dataset. Read more

$380K
Total Medicaid Paid
11,906
Total Claims
8,677
Beneficiaries
22
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialLONG, MONICA (MANAGER OF PROVIDER CREDENTIALING)
Parent OrganizationIMMEDIADENT OF INDIANA, P.C.
NPI Enumeration Date03/17/2015

Related Entities

Other providers sharing the same authorized official: LONG, MONICA

ProviderCityStateTotal Paid
DENTAL SERVICES OF INDIANA, P.C. INDIANAPOLIS IN $640K
IMMEDIADENT OF INDIANA, P.C. ANDERSON IN $619K
IMMEDIADENT OF INDIANA, P.C. INDIANAPOLIS IN $577K
IMMEDIADENT OF INDIANA, P.C. INDIANAPOLIS IN $449K
IMMEDIADENT OF INDIANA, P.C. NEW ALBANY IN $378K
IMMEDIADENT OF INDIANA, P.C. CLARKSVILLE IN $367K
DENTAL SERVICES OF INDIANA, P.C. MERRILLVILLE IN $312K
IMMEDIADENT OF INDIANA, P.C. INDIANAPOLIS IN $309K
DENTAL SERVICES OF INDIANA, P.C. SCHERERVILLE IN $241K
DENTAL SERVICES OF OHIO, INC SOUTH EUCLID OH $224K
IMMEDIADENT OF INDIANA, P.C. INDIANAPOLIS IN $188K
DENTAL SERVICES OF OHIO, JAMES G. TURK, DDS,& DENEAN R. CARR, DDS, INC MIDDLEBURG HEIGHTS OH $41K
DENTAL SERVICES OF OHIO, INC CINCINNATI OH $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,042 $101K
2019 5,500 $262K
2020 364 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7140 Extraction, erupted tooth or exposed root 1,405 521 $86K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,063 518 $50K
D0210 Intraoral - complete series of radiographic images 1,286 1,056 $45K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 598 339 $33K
D0150 Comprehensive oral evaluation - new or established patient 1,049 981 $24K
D1110 Prophylaxis - adult 722 671 $22K
D0140 Limited oral evaluation - problem focused 817 758 $22K
D0120 Periodic oral evaluation - established patient 1,108 1,023 $17K
D0274 Bitewings - four radiographic images 637 576 $15K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 194 107 $14K
D2391 Resin-based composite - one surface, posterior, primary or permanent 464 249 $11K
D2335 148 71 $10K
D0220 Intraoral - periapical first radiographic image 981 902 $8K
D0330 Panoramic radiographic image 154 138 $6K
D0230 Intraoral - periapical each additional radiographic image 754 334 $6K
D2332 118 69 $5K
D1208 Topical application of fluoride, excluding varnish 237 216 $2K
D2331 40 26 $2K
D0270 44 40 $605.21
D2394 15 12 $417.00
D1120 Prophylaxis - child 60 58 $172.50
D0272 Bitewings - two radiographic images 12 12 $81.87