Medicaid Provider Spending

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

GREENCASTLE PEDIATRIC DENTISTRY, P.C.

NPI: 1942280466 · GREENCASTLE, IN 46135 · Pediatric Dentist · NPI assigned 01/19/2006

$1.75M
Total Medicaid Paid
68,971
Total Claims
56,818
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHUBBARD, CARRIE (OFFICE MNG)
NPI Enumeration Date01/19/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,303 $33K
2019 8,143 $224K
2020 4,195 $106K
2021 9,601 $258K
2022 14,619 $416K
2023 13,327 $335K
2024 11,783 $381K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 10,742 10,159 $336K
D0120 Periodic oral evaluation - established patient 13,040 12,340 $268K
D1351 Sealant - per tooth 10,172 1,833 $247K
D1206 Topical application of fluoride varnish 10,637 10,083 $217K
D2930 Prefabricated stainless steel crown - primary tooth 1,182 506 $172K
D1110 Prophylaxis - adult 3,569 3,400 $155K
D0272 Bitewings - two radiographic images 4,614 4,373 $100K
D0330 Panoramic radiographic image 1,822 1,703 $98K
D1208 Topical application of fluoride, excluding varnish 3,371 3,181 $61K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1,601 1,435 $44K
D0150 Comprehensive oral evaluation - new or established patient 1,239 1,182 $37K
D2391 Resin-based composite - one surface, posterior, primary or permanent 260 163 $13K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 55 39 $2K
D0274 Bitewings - four radiographic images 56 55 $2K
D7140 Extraction, erupted tooth or exposed root 17 12 $1K
D0602 1,494 1,441 $0.00
D0601 1,326 1,284 $0.00
D0603 3,774 3,629 $0.00