Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › BROWNSBURG › ANGELA DEHAVEN BROWNSBURG DDS LLC

ANGELA DEHAVEN BROWNSBURG DDS LLC

NPI: 1912431701 · BROWNSBURG, IN 46112 · Dentist · NPI assigned 04/18/2017

$5K
Total Medicaid Paid
302
Total Claims
247
Beneficiaries
2
Codes Billed
2018-01
First Month
2019-04
Last Month

Provider Details

Authorized OfficialHUTTER, JEFFREY (MANAGER)
NPI Enumeration Date04/18/2017

Related Entities

Other providers sharing the same authorized official: HUTTER, JEFFREY

ProviderCityStateTotal Paid
TRUSTEES OF BOSTON UNIVERSITY BOSTON MA $738K
TRUSTEES OF BOSTON UNIVERSITY BOSTON MA $472K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 243 $3K
2019 59 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 110 88 $3K
D0120 Periodic oral evaluation - established patient 192 159 $2K