HARRISON DENTAL GROUP IV LLC
NPI: 1801499702
· FORT WAYNE, IN 46815
· 1223G0001X
$930K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
362 |
$13K |
| 2022 |
5,712 |
$241K |
| 2023 |
8,263 |
$359K |
| 2024 |
6,165 |
$317K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,913 |
1,111 |
$158K |
| D2393 |
|
1,061 |
707 |
$105K |
| D1110 |
|
2,084 |
1,987 |
$103K |
| D0150 |
|
2,444 |
2,344 |
$97K |
| D0210 |
|
1,722 |
1,431 |
$88K |
| D2391 |
|
922 |
634 |
$57K |
| D0140 |
|
1,413 |
1,343 |
$52K |
| D0120 |
|
1,760 |
1,674 |
$41K |
| D0274 |
|
1,249 |
1,192 |
$41K |
| D1206 |
|
1,795 |
1,726 |
$36K |
| D1120 |
|
918 |
885 |
$31K |
| D0330 |
|
527 |
503 |
$28K |
| D7140 |
|
182 |
118 |
$21K |
| D0220 |
|
1,333 |
1,235 |
$17K |
| D2394 |
|
138 |
94 |
$15K |
| D0272 |
|
541 |
514 |
$12K |
| D7210 |
|
51 |
28 |
$10K |
| D2331 |
|
93 |
59 |
$10K |
| D4346 |
|
29 |
27 |
$4K |
| D0230 |
|
293 |
205 |
$3K |
| D2332 |
|
18 |
12 |
$2K |
| D2330 |
|
16 |
12 |
$1K |