Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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IMMEDIADENT OF INDIANA, P.C.

NPI: 1699168435 · INDIANAPOLIS, IN 46254 · 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

$577K
Total Medicaid Paid
14,414
Total Claims
9,509
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 $449K
IMMEDIADENT OF INDIANA, P.C. INDIANAPOLIS IN $380K
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 8,205 $170K
2019 5,829 $385K
2020 380 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 1,441 705 $155K
D7140 Extraction, erupted tooth or exposed root 2,607 931 $127K
D0210 Intraoral - complete series of radiographic images 1,589 1,314 $59K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,004 489 $45K
D0150 Comprehensive oral evaluation - new or established patient 1,367 1,240 $32K
D7240 Removal of impacted tooth - completely bony 147 59 $27K
D7250 253 129 $20K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 457 240 $19K
D0140 Limited oral evaluation - problem focused 739 670 $17K
D0120 Periodic oral evaluation - established patient 1,085 999 $16K
D1110 Prophylaxis - adult 484 447 $14K
D0274 Bitewings - four radiographic images 635 582 $13K
D2391 Resin-based composite - one surface, posterior, primary or permanent 347 164 $8K
D0220 Intraoral - periapical first radiographic image 842 774 $7K
D0230 Intraoral - periapical each additional radiographic image 904 374 $5K
D4341 47 13 $3K
D2394 45 25 $3K
D0330 Panoramic radiographic image 58 54 $2K
D1208 Topical application of fluoride, excluding varnish 211 170 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 88 79 $866.60
D2335 24 13 $711.80
D1120 Prophylaxis - child 40 38 $172.50