MFDC OF INDIANA, INC

NPI: 1962065565 · SCOTTSBURG, IN 47170 · General Practice Dentistry · NPI assigned 04/18/2019

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official REIBEL, JEFF controls 20+ related entities in our dataset. Read more

$984K

Total Medicaid Paid

18,088

Total Claims

13,516

Beneficiaries

Codes Billed

2019-12

First Month

2024-12

Last Month

Provider Details

Authorized Official	REIBEL, JEFF (CFO)
NPI Enumeration Date	04/18/2019

Other providers sharing the same authorized official: REIBEL, JEFF

Provider	City	State	Total Paid
ABBEVILLE DENTISTRY - LUBBOCK PUEBLO, PLLC	LUBBOCK	TX	$6.30M
ABBEVILLE FAMILY DENTISTRY	LUBBOCK	TX	$4.42M
KIDS DENTISTREE OF KY LLC	LOUISVILLE	KY	$3.20M
KIDS DENTISTREE OF IN, LLC	NEW ALBANY	IN	$3.20M
KIDS DENTISTREE OF IN, LLC	AVON	IN	$2.68M
ORAL SURGERY GROUP OF FRANKFORT, PLLC	FRANKFORT	KY	$2.66M
SPECIALIZED DENTAL SERVICES.PLLC	LOUISVILLE	KY	$2.29M
KIDS DENTISTREE OF IN, LLC	SCOTTSBURG	IN	$2.24M
MORTENSON FAMILY DENTAL CENTER-FRANKFORT, PLLC	FRANKFORT	KY	$1.74M
MORTENSON FAMILY DENTAL CENTER - INDEPENDENCE, LLC	INDEPENDENCE	KY	$1.39M
MFDC OF INDIANA, INC	INDIANAPOLIS	IN	$959K
MORTENSON FAMILY DENTAL CENTER - BARDSTOWN, PLLC	BARDSTOWN	KY	$796K
MORTENSON FAMILY DENTAL - SEYMOUR, LLC	SEYMOUR	IN	$788K
MFDC OF KY LLC	DRY RIDGE	KY	$679K
MFDC OF INDIANA, INC	AVON	IN	$648K
ABBEVILLE DENTISTRY - LEVELLAND PLLC	LEVELLAND	TX	$593K
MORTENSON FAMILY DENTAL CENTER - MAINEVILLE LLC	MAINEVILLE	OH	$482K
KIDS DENTISTREE OF KY LLC	GEORGETOWN	KY	$469K
MFDC OF INDIANA, INC	GREENWOOD	IN	$443K
MFDC OF INDIANA, INC	GREENSBURG	IN	$378K

Code	Description	Claims	Beneficiaries	Total Paid
D7140	Extraction, erupted tooth or exposed root	1,769	493	$165K
D0210	Intraoral - complete series of radiographic images	2,710	2,313	$157K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1,510	895	$119K
D0150	Comprehensive oral evaluation - new or established patient	2,465	2,227	$95K
D1110	Prophylaxis - adult	1,692	1,520	$83K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	711	475	$71K
D4346		398	354	$52K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	296	82	$51K
D0120	Periodic oral evaluation - established patient	1,354	1,227	$32K
D2391	Resin-based composite - one surface, posterior, primary or permanent	499	317	$30K
D0140	Limited oral evaluation - problem focused	761	680	$27K
D2335		134	78	$19K
D0220	Intraoral - periapical first radiographic image	1,255	1,105	$14K
D1206	Topical application of fluoride varnish	716	647	$13K
D0274	Bitewings - four radiographic images	432	397	$13K
D0330	Panoramic radiographic image	156	140	$9K
D0230	Intraoral - periapical each additional radiographic image	1,073	456	$8K
D2332		77	45	$7K
D5110		15	14	$7K
D5120		14	13	$6K
D2331		22	13	$3K
D4910		16	12	$900.90
D1120	Prophylaxis - child	13	13	$379.50