MFDC OF INDIANA, INC

NPI: 1861987455 · INDIANAPOLIS, IN 46229 · General Practice Dentistry · NPI assigned 06/26/2018

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official REIBEL, JEFF controls 20+ related entities in our dataset. Read more

$959K

Total Medicaid Paid

22,318

Total Claims

16,449

Beneficiaries

Codes Billed

2019-08

First Month

2024-11

Last Month

Provider Details

Authorized Official	REIBEL, JEFF (CFO)
NPI Enumeration Date	06/26/2018

Other providers sharing the same authorized official: REIBEL, JEFF

Provider	City	State	Total Paid
ABBEVILLE DENTISTRY - LUBBOCK PUEBLO, PLLC	LUBBOCK	TX	$6.30M
ABBEVILLE FAMILY DENTISTRY	LUBBOCK	TX	$4.42M
KIDS DENTISTREE OF KY LLC	LOUISVILLE	KY	$3.20M
KIDS DENTISTREE OF IN, LLC	NEW ALBANY	IN	$3.20M
KIDS DENTISTREE OF IN, LLC	AVON	IN	$2.68M
ORAL SURGERY GROUP OF FRANKFORT, PLLC	FRANKFORT	KY	$2.66M
SPECIALIZED DENTAL SERVICES.PLLC	LOUISVILLE	KY	$2.29M
KIDS DENTISTREE OF IN, LLC	SCOTTSBURG	IN	$2.24M
MORTENSON FAMILY DENTAL CENTER-FRANKFORT, PLLC	FRANKFORT	KY	$1.74M
MORTENSON FAMILY DENTAL CENTER - INDEPENDENCE, LLC	INDEPENDENCE	KY	$1.39M
MFDC OF INDIANA, INC	SCOTTSBURG	IN	$984K
MORTENSON FAMILY DENTAL CENTER - BARDSTOWN, PLLC	BARDSTOWN	KY	$796K
MORTENSON FAMILY DENTAL - SEYMOUR, LLC	SEYMOUR	IN	$788K
MFDC OF KY LLC	DRY RIDGE	KY	$679K
MFDC OF INDIANA, INC	AVON	IN	$648K
ABBEVILLE DENTISTRY - LEVELLAND PLLC	LEVELLAND	TX	$593K
MORTENSON FAMILY DENTAL CENTER - MAINEVILLE LLC	MAINEVILLE	OH	$482K
KIDS DENTISTREE OF KY LLC	GEORGETOWN	KY	$469K
MFDC OF INDIANA, INC	GREENWOOD	IN	$443K
MFDC OF INDIANA, INC	GREENSBURG	IN	$378K

Code	Description	Claims	Beneficiaries	Total Paid
D0210	Intraoral - complete series of radiographic images	2,216	1,704	$132K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1,692	901	$122K
D2394		1,067	460	$117K
D1110	Prophylaxis - adult	2,288	1,931	$104K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	1,050	582	$92K
D0150	Comprehensive oral evaluation - new or established patient	2,254	1,837	$82K
D0120	Periodic oral evaluation - established patient	2,573	2,260	$58K
D2391	Resin-based composite - one surface, posterior, primary or permanent	645	369	$35K
D0274	Bitewings - four radiographic images	1,160	989	$35K
D1206	Topical application of fluoride varnish	1,646	1,457	$32K
D1120	Prophylaxis - child	969	871	$28K
D0140	Limited oral evaluation - problem focused	688	567	$26K
D7140	Extraction, erupted tooth or exposed root	323	41	$18K
D0220	Intraoral - periapical first radiographic image	1,674	1,325	$17K
D2335		114	57	$17K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	80	25	$12K
D0330	Panoramic radiographic image	384	299	$8K
D0230	Intraoral - periapical each additional radiographic image	900	459	$6K
D1351	Sealant - per tooth	232	34	$6K
D4346		19	19	$4K
D0272	Bitewings - two radiographic images	182	152	$3K
D2332		26	13	$2K
D1208	Topical application of fluoride, excluding varnish	120	84	$2K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	16	13	$433.30