AFFORDABLE DENTURES & IMPLANTS - FORT WAYNE III, P.C.
NPI: 1922721208
· FORT WAYNE, IN 46804
· General Practice Dentistry
· NPI assigned 09/22/2022
$608K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
3,485 |
$326K |
| 2024 |
2,327 |
$281K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
3,013 |
253 |
$232K |
| D5110 |
|
248 |
204 |
$93K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
618 |
98 |
$84K |
| D5120 |
|
159 |
135 |
$57K |
| D5130 |
|
118 |
100 |
$45K |
| D0330 |
Panoramic radiographic image |
822 |
727 |
$41K |
| D5140 |
|
89 |
71 |
$32K |
| D0140 |
Limited oral evaluation - problem focused |
676 |
605 |
$22K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
54 |
50 |
$1K |
| D9248 |
|
15 |
12 |
$868.98 |