DENTAL HEALTH ASSOC OF IN, PC
NPI: 1700191871
· INDIANAPOLIS, IN 46237
· General Practice Dentistry
· NPI assigned 08/13/2010
Provider Details
Related Entities
Other providers sharing the same authorized official: PURVIS, JENNIFER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
898 |
$1K |
| 2019 |
52 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
236 |
200 |
$912.06 |
| D0120 |
Periodic oral evaluation - established patient |
244 |
209 |
$702.21 |
| D1208 |
Topical application of fluoride, excluding varnish |
260 |
209 |
$223.90 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
61 |
51 |
$213.00 |
| D0274 |
Bitewings - four radiographic images |
83 |
71 |
$175.85 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
14 |
$173.61 |
| D0210 |
Intraoral - complete series of radiographic images |
51 |
43 |
$74.16 |