AFFORDABLE DENTURES - TERRE HAUTE, P.C.
NPI: 1689978389
· TERRE HAUTE, IN 47803
· Dentist
· NPI assigned 01/10/2011
$1.23M
Total Medicaid Paid
Provider Details
| Authorized Official | MIDDAUGH, GLEN (OWNER) |
| NPI Enumeration Date | 01/10/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,443 |
$68K |
| 2019 |
971 |
$172K |
| 2020 |
1,276 |
$223K |
| 2021 |
1,507 |
$249K |
| 2022 |
1,319 |
$276K |
| 2023 |
1,136 |
$239K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D5110 |
|
1,436 |
1,380 |
$590K |
| D5120 |
|
974 |
943 |
$394K |
| D0330 |
Panoramic radiographic image |
2,313 |
2,216 |
$147K |
| D7140 |
Extraction, erupted tooth or exposed root |
604 |
95 |
$47K |
| D0140 |
Limited oral evaluation - problem focused |
2,238 |
2,157 |
$46K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
87 |
86 |
$2K |