Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › INDIANAPOLIS › DENTAL SERVICES OF INDIANA, P.C.

DENTAL SERVICES OF INDIANA, P.C.

NPI: 1982135174 · INDIANAPOLIS, IN 46203 · General Practice Dentistry · NPI assigned 03/21/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LONG, MONICA controls 13+ related entities in our dataset. Read more

$640K
Total Medicaid Paid
16,346
Total Claims
10,827
Beneficiaries
24
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialLONG, MONICA (MANAGER OF PROVIDER CREDENTIALING)
Parent OrganizationDENTAL SERVICES OF INDIANA, P.C.
NPI Enumeration Date03/21/2017

Related Entities

Other providers sharing the same authorized official: LONG, MONICA

ProviderCityStateTotal Paid
IMMEDIADENT OF INDIANA, P.C. ANDERSON IN $619K
IMMEDIADENT OF INDIANA, P.C. INDIANAPOLIS IN $577K
IMMEDIADENT OF INDIANA, P.C. INDIANAPOLIS IN $449K
IMMEDIADENT OF INDIANA, P.C. INDIANAPOLIS IN $380K
IMMEDIADENT OF INDIANA, P.C. NEW ALBANY IN $378K
IMMEDIADENT OF INDIANA, P.C. CLARKSVILLE IN $367K
DENTAL SERVICES OF INDIANA, P.C. MERRILLVILLE IN $312K
IMMEDIADENT OF INDIANA, P.C. INDIANAPOLIS IN $309K
DENTAL SERVICES OF INDIANA, P.C. SCHERERVILLE IN $241K
DENTAL SERVICES OF OHIO, INC SOUTH EUCLID OH $224K
IMMEDIADENT OF INDIANA, P.C. INDIANAPOLIS IN $188K
DENTAL SERVICES OF OHIO, JAMES G. TURK, DDS,& DENEAN R. CARR, DDS, INC MIDDLEBURG HEIGHTS OH $41K
DENTAL SERVICES OF OHIO, INC CINCINNATI OH $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,530 $113K
2019 8,480 $507K
2020 336 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7140 Extraction, erupted tooth or exposed root 2,528 896 $147K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 747 442 $95K
D0210 Intraoral - complete series of radiographic images 1,983 1,640 $82K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,674 814 $74K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 962 533 $50K
D0150 Comprehensive oral evaluation - new or established patient 1,907 1,708 $46K
D2391 Resin-based composite - one surface, posterior, primary or permanent 920 500 $35K
D1110 Prophylaxis - adult 716 619 $23K
D0140 Limited oral evaluation - problem focused 610 546 $16K
D0120 Periodic oral evaluation - established patient 709 631 $13K
D0274 Bitewings - four radiographic images 408 367 $12K
D0330 Panoramic radiographic image 424 368 $12K
D0220 Intraoral - periapical first radiographic image 790 712 $7K
D1208 Topical application of fluoride, excluding varnish 498 409 $6K
D1351 Sealant - per tooth 439 61 $5K
D2332 96 54 $4K
D1120 Prophylaxis - child 238 198 $4K
D0230 Intraoral - periapical each additional radiographic image 526 213 $3K
D2394 40 27 $3K
D2335 48 28 $1K
D2330 39 24 $760.12
D4346 14 12 $408.00
D2331 16 12 $376.23
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 14 13 $92.85