NPI: 1760913958 · SCHERERVILLE, IN 46375 · Dentist · NPI assigned 03/21/2017
Authorized official LONG, MONICA controls 13+ related entities in our dataset. Read more
| Authorized Official | LONG, MONICA (MANAGER OF PROVIDER CREDENTIALING) |
| Parent Organization | DENTAL SERVICES OF INDIANA, P.C. |
| NPI Enumeration Date | 03/21/2017 |
Other providers sharing the same authorized official: LONG, MONICA
| Provider | City | State | Total 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 | $577K |
| 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 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,013 | $57K |
| 2019 | 2,511 | $170K |
| 2020 | 255 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 931 | 313 | $55K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 603 | 288 | $38K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 225 | 140 | $37K |
| D0210 | Intraoral - complete series of radiographic images | 869 | 690 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | 841 | 780 | $24K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 162 | 97 | $15K |
| D1110 | Prophylaxis - adult | 338 | 305 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 168 | 110 | $9K |
| D0330 | Panoramic radiographic image | 103 | 87 | $6K |
| D0140 | Limited oral evaluation - problem focused | 157 | 149 | $6K |
| D0120 | Periodic oral evaluation - established patient | 95 | 83 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 146 | 135 | $2K |
| D0274 | Bitewings - four radiographic images | 44 | 43 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 54 | 33 | $584.00 |
| D1120 | Prophylaxis - child | 15 | 13 | $34.50 |
| D1208 | Topical application of fluoride, excluding varnish | 28 | 26 | $26.78 |