OCFD, PC
NPI: 1821441437
· PAOLI, IN 47454
· Dental Clinic/Center
· NPI assigned 07/19/2016
$165K
Total Medicaid Paid
Provider Details
| Authorized Official | LEWIS, SCOTT (PRESIDENT) |
| NPI Enumeration Date | 07/19/2016 |
Related Entities
Other providers sharing the same authorized official: LEWIS, SCOTT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
310 |
$97.09 |
| 2019 |
389 |
$10K |
| 2020 |
1,329 |
$37K |
| 2021 |
1,480 |
$42K |
| 2022 |
945 |
$27K |
| 2023 |
935 |
$27K |
| 2024 |
557 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
1,286 |
1,213 |
$60K |
| D0120 |
Periodic oral evaluation - established patient |
2,274 |
2,142 |
$47K |
| D1206 |
Topical application of fluoride varnish |
1,403 |
1,321 |
$29K |
| D1120 |
Prophylaxis - child |
526 |
487 |
$15K |
| D0274 |
Bitewings - four radiographic images |
243 |
231 |
$9K |
| D0140 |
Limited oral evaluation - problem focused |
108 |
105 |
$4K |
| D0272 |
Bitewings - two radiographic images |
14 |
14 |
$347.34 |
| D1208 |
Topical application of fluoride, excluding varnish |
91 |
88 |
$313.29 |