Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DENTISTRY OF INDIANA, INC.

NPI: 1750346680 · INDIANAPOLIS, IN 46224 · General Practice Dentistry · NPI assigned 04/20/2006

$692.74
Total Medicaid Paid
77
Total Claims
76
Beneficiaries
1
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialJOHNSON, STACY (PRESIDENT)
NPI Enumeration Date04/20/2006

Related Entities

Other providers sharing the same authorized official: JOHNSON, STACY

ProviderCityStateTotal Paid
SPRINGTOWN ISD SPRINGTOWN TX $257K
LORING HOSPITAL SAC CITY IA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 53 $180.64
2022 12 $251.08
2023 12 $261.02

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 77 76 $692.74