CALDWELL, CRATISA
NPI: 1881906634
· INDIANAPOLIS, IN 46219
· Public Health Dentist
· NPI assigned 07/09/2010
$626K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
56 |
$14K |
| 2019 |
268 |
$19K |
| 2020 |
844 |
$45K |
| 2021 |
2,133 |
$175K |
| 2022 |
2,346 |
$173K |
| 2023 |
1,996 |
$144K |
| 2024 |
752 |
$55K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D5110 |
|
401 |
347 |
$181K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,900 |
669 |
$155K |
| D0330 |
Panoramic radiographic image |
2,273 |
1,707 |
$97K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,490 |
1,842 |
$86K |
| D5212 |
|
118 |
92 |
$47K |
| D5120 |
|
104 |
91 |
$42K |
| D5211 |
|
38 |
31 |
$14K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
33 |
17 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
16 |
16 |
$620.80 |
| D0120 |
Periodic oral evaluation - established patient |
22 |
12 |
$268.30 |