AFFORDABLE DENTURES & IMPLANTS - EAST INDIANAPOLIS III, P.C.
NPI: 1699408088
· INDIANAPOLIS, IN 46229
· General Practice Dentistry
· NPI assigned 07/05/2022
$152K
Total Medicaid Paid
Provider Details
| Authorized Official | SOOFI, SAAD (OWNER) |
| NPI Enumeration Date | 07/05/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
923 |
$146K |
| 2024 |
13 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D5110 |
|
101 |
89 |
$43K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
246 |
35 |
$32K |
| D7140 |
Extraction, erupted tooth or exposed root |
424 |
48 |
$31K |
| D7310 |
|
72 |
25 |
$13K |
| D5120 |
|
32 |
27 |
$13K |
| D5130 |
|
29 |
26 |
$11K |
| D5140 |
|
32 |
26 |
$10K |