Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DENTAL HEALTH ASSOC OF IN PC

NPI: 1871872317 · GREENWOOD, IN 46143 · General Practice Dentistry · NPI assigned 08/16/2011

$3K
Total Medicaid Paid
569
Total Claims
494
Beneficiaries
7
Codes Billed
2018-05
First Month
2018-11
Last Month

Provider Details

Authorized OfficialPURVIS, JENNIFER (AR MANAGER)
NPI Enumeration Date08/16/2011

Related Entities

Other providers sharing the same authorized official: PURVIS, JENNIFER

ProviderCityStateTotal Paid
2B2E, INC. JACKSONVILLE FL $4.11M
DENTAL HEALTH ASSOC OF IN BLOOMINGTON IN $5K
DENTAL HEALTH ASSOC OF IN, PC INDIANAPOLIS IN $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 569 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 112 94 $1K
D1208 Topical application of fluoride, excluding varnish 107 88 $738.87
D1120 Prophylaxis - child 60 48 $621.00
D0210 Intraoral - complete series of radiographic images 68 57 $435.41
D0120 Periodic oral evaluation - established patient 119 109 $270.96
D1110 Prophylaxis - adult 88 83 $238.75
D0274 Bitewings - four radiographic images 15 15 $0.00