Dental
Optim Dental -1 LLC
Optim Dental -1 LLC was paid $717K by Medicaid between Jan 2018 and Dec 2022, across 23 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 26% of everything it billed.
33Billing provider infoOPTIM DENTAL -1 LLC
TERRE HAUTE, IN 47802
TERRE HAUTE, IN 47802
33aNPI1053852202assigned 03/20/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$717K
24GClaims19,438
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#89 of 723
Median peer was paid$60K
This provider vs. median12×
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 | 2,540 | $11K | |
| 2019 | 3,697 | $134K | |
| 2020 | 3,134 | $126K | |
| 2021 | 4,813 | $213K | |
| 2022 | 5,254 | $234K |
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 | 26% | 1,099 | 397 | $183K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 1,777 | 791 | $109K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.7% | 2,026 | 1,860 | $62K |
| D0274 | Bitewings - four radiographic images | 7.1% | 1,503 | 1,388 | $51K |
| D0140 | Limited oral evaluation - problem focused | 6.6% | 1,274 | 1,186 | $47K |
| D1110 | Prophylaxis - adult | 6.1% | 1,050 | 966 | $44K |
| D0330 | Panoramic radiographic image | 6.1% | 822 | 748 | $44K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 2,783 | 2,488 | $27K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.6% | 1,194 | 1,118 | $26K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.5% | 368 | 209 | $25K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 2,741 | 1,942 | $21K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.9% | 905 | 859 | $21K |
11 more codes
| D1206 | Topical application of fluoride varnish | 2.3% | 963 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 343 | $16K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 1.4% | 23 | $10K |
| D2931 | <1% | 31 | $6K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 238 | $5K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 152 | $3K |
| D1351 | Sealant - per tooth | <1% | 57 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 15 | $354.78 |
| D9920 | <1% | 15 | $233.75 | |
| D9130 | 0% | 34 | $0.00 | |
| D1330 | 0% | 25 | $0.00 |
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 officialDURSHANAPALLI, SRINIVAS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Michiana Family Dental LLC | South Bend, IN | $3.01M |
| DR. Durshanapalli & Associates PLLC | High Point, NC | $1.15M |
| Vcare Dental LLC | Greenville, SC | $269K |
| Olive Branch Dental-1 LLC | Indianapolis, IN | $159K |
| Tenth Street Family Dental LLC | Indianapolis, IN | $124K |
| Viva Smiles Giddings PLLC | Giddings, TX | $53K |
| Affinity Family Dental LLC | Shelbyville, IN | $36K |
| Olive Branch Dental LLC | Greenwood, IN | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.