THOMAS A CLOSURDO JR DDS PC
NPI: 1730576752
· SOUTH BEND, IN 46617
· General Practice Dentistry
· NPI assigned 04/16/2015
$112K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$0.00 |
| 2019 |
70 |
$2K |
| 2021 |
474 |
$15K |
| 2022 |
746 |
$26K |
| 2023 |
1,148 |
$37K |
| 2024 |
959 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,172 |
1,106 |
$60K |
| D0120 |
Periodic oral evaluation - established patient |
1,483 |
1,390 |
$35K |
| D0274 |
Bitewings - four radiographic images |
334 |
321 |
$12K |
| D1208 |
Topical application of fluoride, excluding varnish |
329 |
313 |
$3K |
| D1120 |
Prophylaxis - child |
40 |
38 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
27 |
$869.75 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$614.33 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$410.82 |