Yorktown Dentistry LLC

Yorktown Dentistry LLC was paid $165K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 39% of everything it billed.

33Billing provider infoYORKTOWN DENTISTRY LLC
YORKTOWN, IN 47396

33aNPI1003241076assigned 09/10/2013

33bProvider typeGeneral Practice Dentistry

28Total paid$165K

24GClaims5,187

24DCodes billed12

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#251 of 723

Median peer was paid$60K

This provider vs. median2.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	218	$390.15
2019	528	$16K
2020	525	$14K
2021	827	$24K
2022	1,121	$43K
2023	1,146	$41K
2024incomplete	822	$26K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	39%	1,563	1,334	$64K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	1,993	1,707	$39K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	14%	351	204	$23K
D0274	Bitewings - four radiographic images	13%	646	562	$21K
D1120	Dental cleaning, childProphylaxis - child	2.8%	172	150	$5K
D0150	Comprehensive oral evaluation - new or established patient	1.8%	80	72	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.6%	44	24	$3K
D0140	Limited oral evaluation - problem focused	1.5%	77	63	$2K
D1206	Topical application of fluoride varnish	1.4%	134	114	$2K
D0210	Intraoral - complete series of radiographic images	<1%	15	14	$1K
D0220	Intraoral - periapical first radiographic image	<1%	88	68	$982.15
D1208	Topical application of fluoride, excluding varnish	<1%	24	13	$291.15

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialLEFEVRE, DELAYNE (MANAGING MEMBER PARTNER)