Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Cedar Lane Family Dentistry PC

Cedar Lane Family Dentistry PC was paid $379K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.

33Billing provider infoCEDAR LANE FAMILY DENTISTRY PC
FRANKLIN, IN 46131
33aNPI1003976093assigned 12/11/2006
33bProvider typeDentist
28Total paid$379K
24GClaims12,953
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Dentist providers in Indiana

Rank by total paid#97 of 452
Median peer was paid$59K
This provider vs. median6.4×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20181,734$4K
20192,275$72K
20202,640$97K
20212,568$85K
20222,412$76K
2023908$29K
2024incomplete416$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 27% 2,456 2,244 $102K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 17% 3,386 3,088 $65K
D0330 Panoramic radiographic image 17% 1,342 1,209 $65K
D1120 Dental cleaning, childProphylaxis - child 7.1% 1,176 1,080 $27K
D0140 Limited oral evaluation - problem focused 6.6% 728 664 $25K
D0272 Bitewings - two radiographic images 6.5% 1,164 1,078 $25K
D1208 Topical application of fluoride, excluding varnish 6.4% 1,471 1,356 $24K
D0150 Comprehensive oral evaluation - new or established patient 6.1% 762 689 $23K
D7140 Extraction, erupted tooth or exposed root 4.0% 176 24 $15K
D1206 Topical application of fluoride varnish 1.1% 201 173 $4K
D2150 Silver amalgam - two surfaces, primary or permanent <1% 27 16 $2K
D2140 <1% 16 12 $1K
1 more codes
D1999 <1% 48 $10.00

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 officialMIRISE, PHILIP (DENTIST CEO)