Harrison Dental, LLC

Harrison Dental, LLC was paid $60K by Medicaid between Jul 2019 and Nov 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.

33Billing provider infoHARRISON DENTAL, LLC
SHELBYVILLE, IN 46176

33aNPI1023432200assigned 02/10/2014

33bProvider typeGeneral Practice Dentistry

28Total paid$60K

24GClaims1,705

24DCodes billed11

24AFirst – last monthJul 2019 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#362 of 723

Median peer was paid$60K

This provider vs. median1.0×

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
2019	12	$447.30
2021	106	$3K
2022	722	$26K
2023	733	$26K
2024incomplete	132	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	25%	361	242	$15K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	19%	195	96	$11K
D0150	Comprehensive oral evaluation - new or established patient	17%	368	231	$10K
D0210	Intraoral - complete series of radiographic images	16%	197	131	$9K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	364	275	$8K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.5%	54	36	$3K
D1208	Topical application of fluoride, excluding varnish	2.7%	87	67	$2K
D1120	Dental cleaning, childProphylaxis - child	<1%	24	13	$543.72
D0140	Limited oral evaluation - problem focused	<1%	16	14	$533.20
D0274	Bitewings - four radiographic images	<1%	24	12	$416.42
D0220	Intraoral - periapical first radiographic image	<1%	15	13	$143.14

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 officialTUNGATE, JEAN (OFFICE MANAGER)