10439 E US Highway 36 Dental, LLC

10439 E US Highway 36 Dental, LLC was paid $115K by Medicaid between Jan 2018 and Jun 2019, across 8 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 47% of everything it billed.

33Billing provider info10439 E US HIGHWAY 36 DENTAL, LLC
AVON, IN 46123

33aNPI1023546629assigned 05/25/2017

33bProvider typeGeneral Practice Dentistry

28Total paid$115K

24GClaims3,925

24DCodes billed8

24AFirst – last monthJan 2018 – Jun 2019

Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#291 of 723

Median peer was paid$60K

This provider vs. median1.9×

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	2,928	$68K
2019	997	$47K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	47%	659	273	$54K
D7140	Extraction, erupted tooth or exposed root	23%	731	238	$26K
D0140	Limited oral evaluation - problem focused	16%	1,157	942	$19K
D0330	Panoramic radiographic image	6.7%	387	314	$8K
D0210	Intraoral - complete series of radiographic images	3.9%	118	88	$5K
D0220	Intraoral - periapical first radiographic image	3.5%	802	645	$4K
D0270		<1%	32	30	$620.78
D0230	Intraoral - periapical each additional radiographic image	<1%	39	25	$30.00

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 officialMERTES, ALLEE (DIRECTOR OF COMPLIANCE)