Dental
Olive Branch Dental LLC
Olive Branch Dental LLC was paid $4K by Medicaid between Jul 2022 and Aug 2022, across 4 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 41% of everything it billed.
33Billing provider infoOLIVE BRANCH DENTAL LLC
GREENWOOD, IN 46143
GREENWOOD, IN 46143
33aNPI1053904409assigned 02/17/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims127
24DCodes billed4
24AFirst – last monthJul 2022 – Aug 2022
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#571 of 723
Median peer was paid$60K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2022 | 127 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 41% | 38 | 37 | $1K |
| D0330 | Panoramic radiographic image | 34% | 29 | 28 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 14% | 30 | 17 | $507.60 |
| D1206 | Topical application of fluoride varnish | 11% | 30 | 28 | $400.50 |
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 (MANAGING PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Michiana Family Dental LLC | South Bend, IN | $3.01M |
| DR. Durshanapalli & Associates PLLC | High Point, NC | $1.15M |
| Optim Dental -1 LLC | Terre Haute, IN | $717K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.