Medicaid Provider Spending

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

NPI: 1902367709 · ANDERSON, IN 46016 · General Practice Dentistry · NPI assigned 03/26/2019

$9K
Total Medicaid Paid
388
Total Claims
265
Beneficiaries
6
Codes Billed
2019-09
First Month
2020-02
Last Month

Provider Details

Authorized OfficialRANA, DEEPT (MANAGER)
NPI Enumeration Date03/26/2019

Related Entities

Other providers sharing the same authorized official: RANA, DEEPT

ProviderCityStateTotal Paid
WESTEND DENTAL LLC INDIANAPOLIS IN $3.76M
LAFAYETTE WESTEND DENTAL LLC LAFAYETTE IN $1.72M
BROOKSIDE DENTAL CARE, LLC INDIANAPOLIS IN $1.49M
ARLINGTON WESTEND DENTAL LLC INDIANAPOLIS IN $1.05M
AFFORDABLE WESTEND DENTAL LLC INDIANAPOLIS IN $111K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 215 $5K
2020 173 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 122 107 $4K
D0330 Panoramic radiographic image 39 31 $2K
D0210 Intraoral - complete series of radiographic images 127 37 $1K
D0274 Bitewings - four radiographic images 32 30 $1K
D0220 Intraoral - periapical first radiographic image 37 33 $428.03
D0230 Intraoral - periapical each additional radiographic image 31 27 $309.00