Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Access Dental of Terre Haute LLC

Access Dental of Terre Haute LLC was paid $138K by Medicaid between Mar 2023 and Dec 2024, across 15 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 43% of everything it billed.

33Billing provider infoACCESS DENTAL OF TERRE HAUTE LLC
TERRE HAUTE, IN 47802
33aNPI1013676675assigned 12/10/2021
28Total paid$138K
24GClaims3,086
24DCodes billed15
24AFirst – last monthMar 2023 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#272 of 723
Median peer was paid$60K
This provider vs. median2.3×

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$20K$40K$60K2018201920202021202220232024
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
20231,703$63K
2024incomplete1,383$74K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 43% 339 96 $59K
D0150 Comprehensive oral evaluation - new or established patient 12% 388 381 $16K
D0330 Panoramic radiographic image 10% 318 308 $14K
D1110 Prophylaxis - adult 9.6% 252 244 $13K
D0274 Bitewings - four radiographic images 6.5% 280 268 $9K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 3.3% 194 188 $5K
D0220 Intraoral - periapical first radiographic image 3.1% 331 316 $4K
D0230 Intraoral - periapical each additional radiographic image 2.6% 349 285 $4K
D0210 Intraoral - complete series of radiographic images 2.1% 335 173 $3K
D0140 Limited oral evaluation - problem focused 1.9% 79 73 $3K
D1120 Dental cleaning, childProphylaxis - child 1.7% 86 85 $2K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.7% 18 13 $2K
3 more codes
D1206 Topical application of fluoride varnish 1.3% 83 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.3% 18 $2K
D1208 Topical application of fluoride, excluding varnish <1% 16 $268.68

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 officialCARRILLO, ANDREA (REGIONAL DIRECTOR)
Same official

Other billing entities under CARRILLO, ANDREA

Full network →
ProviderLocationPaid
Access Dental of Harlingen PLLCHarlingen, TX$2.38M
Access Dental of Raymondville PLLCRaymondville, TX$925K
Access Dental of Edinburg PLLCEdinburg, TX$51K
Access Dental of Mcallen PLLCMcallen, TX$24K
Access Dental of Park Row, PAArlington, TX$22K
Access Dental of Wichita Falls PLLCWichita Falls, TX$15K
Access Dental of Beaumont PLLCBeaumont, TX$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.