Maple Family Dentistry LLC

Maple Family Dentistry LLC was paid $6K by Medicaid between Oct 2018 and Aug 2024, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 72% of everything it billed.

33Billing provider infoMAPLE FAMILY DENTISTRY LLC
LOGANSPORT, IN 46947

33aNPI1073656740assigned 02/14/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$6K

24GClaims278

24DCodes billed3

24AFirst – last monthOct 2018 – Aug 2024

Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#545 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
2018	13	$67.74
2019	55	$1K
2020	33	$573.97
2021	17	$394.23
2022	16	$358.11
2023	105	$2K
2024incomplete	39	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	72%	233	195	$4K
D1110	Prophylaxis - adult	24%	32	30	$1K
D1208	Topical application of fluoride, excluding varnish	4.2%	13	13	$246.29

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 officialMAPLE, WENDY (OWNER)