MENEGOTTO, KELSEY
NPI: 1932525136
· INDIANAPOLIS, IN 46224
· Dentist
· NPI assigned 03/12/2014
$1.30M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,871 |
$139K |
| 2019 |
4,268 |
$337K |
| 2020 |
3,769 |
$263K |
| 2021 |
1,136 |
$79K |
| 2022 |
225 |
$19K |
| 2023 |
1,749 |
$240K |
| 2024 |
1,694 |
$224K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
2,545 |
824 |
$567K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,849 |
1,481 |
$166K |
| D9222 |
|
1,442 |
1,385 |
$132K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,196 |
596 |
$100K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,053 |
1,997 |
$100K |
| D0330 |
Panoramic radiographic image |
1,964 |
1,907 |
$90K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,657 |
473 |
$69K |
| D9610 |
|
1,486 |
1,429 |
$60K |
| D7250 |
|
131 |
48 |
$13K |
| D7230 |
|
20 |
12 |
$4K |
| D9219 |
|
71 |
69 |
$964.80 |
| D1999 |
|
298 |
289 |
$0.00 |