Clinic
Crossroads Pediatric Dentistry PC
Crossroads Pediatric Dentistry PC was paid $645K by Medicaid between Jan 2018 and Aug 2020, across 23 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 13% of everything it billed.
33Billing provider infoCROSSROADS PEDIATRIC DENTISTRY PC
GOSHEN, IN 46528
GOSHEN, IN 46528
33aNPI1043319619assigned 09/21/2006
33bProvider typeDental Clinic/Center
28Total paid$645K
24GClaims27,458
24DCodes billed23
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers
Next to other Dental Clinic/Center providers in Indiana
Rank by total paid#36 of 123
Median peer was paid$191K
This provider vs. median3.4×
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
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 | 10,578 | $38K | |
| 2019 | 11,567 | $423K | |
| 2020 | 5,313 | $184K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 826 | 438 | $85K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 3,711 | 3,485 | $78K |
| D1206 | Topical application of fluoride varnish | 11% | 5,110 | 4,812 | $73K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 4,815 | 4,540 | $70K |
| D1110 | Prophylaxis - adult | 8.3% | 1,798 | 1,696 | $54K |
| D7140 | Extraction, erupted tooth or exposed root | 7.0% | 925 | 444 | $45K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.2% | 1,072 | 660 | $40K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.1% | 2,248 | 1,899 | $39K |
| D0272 | Bitewings - two radiographic images | 4.5% | 1,786 | 1,666 | $29K |
| D2140 | 3.9% | 756 | 518 | $25K | |
| D0330 | Panoramic radiographic image | 3.6% | 718 | 683 | $23K |
| D1354 | 2.9% | 392 | 113 | $19K |
11 more codes
| D1351 | Sealant - per tooth | 2.9% | 1,218 | $18K |
| D0274 | Bitewings - four radiographic images | 2.0% | 638 | $13K |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 612 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 458 | $11K |
| D7111 | <1% | 93 | $6K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 35 | $2K |
| D9920 | <1% | 121 | $2K | |
| D2330 | <1% | 18 | $1K | |
| D9248 | <1% | 40 | $577.50 | |
| D2160 | <1% | 14 | $376.12 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 54 | $111.25 |
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 officialBIGLER, MICHAEL (PRESIDENT)