Medicaid Provider Spending

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

ZIONSVILLE PEDIATRIC DENTISTRY

NPI: 1972704716 · ZIONSVILLE, IN 46077 · Pediatric Dentist · NPI assigned 05/30/2007

$78K
Total Medicaid Paid
4,793
Total Claims
4,149
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCHENRY, MELISSA (PRESIDENT)
NPI Enumeration Date05/30/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 981 $3K
2019 1,038 $25K
2020 521 $11K
2021 713 $14K
2022 736 $11K
2023 446 $6K
2024 358 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,804 1,543 $27K
D1206 Topical application of fluoride varnish 1,566 1,308 $23K
D1120 Prophylaxis - child 816 740 $17K
D1110 Prophylaxis - adult 296 260 $10K
D0272 Bitewings - two radiographic images 112 106 $866.35
D1208 Topical application of fluoride, excluding varnish 199 192 $403.02