Dental
Harrison Dental Group III LLC
Harrison Dental Group III LLC was paid $1.85M by Medicaid between May 2021 and Nov 2024, across 28 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.
33Billing provider infoHARRISON DENTAL GROUP III LLC
FORT WAYNE, IN 46845
FORT WAYNE, IN 46845
33aNPI1083217970assigned 11/21/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$1.85M
24GClaims41,288
24DCodes billed28
24AFirst – last monthMay 2021 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#39 of 723
Median peer was paid$60K
This provider vs. median31×
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 | |
|---|---|---|---|
| 2021 | 2,520 | $113K | |
| 2022 | 6,534 | $294K | |
| 2023 | 19,940 | $873K | |
| 2024incomplete | 12,294 | $568K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 3,568 | 1,953 | $289K |
| D1110 | Prophylaxis - adult | 8.5% | 3,137 | 2,978 | $156K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.5% | 3,491 | 3,331 | $139K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.9% | 1,317 | 949 | $128K |
| D0210 | Intraoral - complete series of radiographic images | 5.7% | 2,616 | 1,887 | $106K |
| D7140 | Extraction, erupted tooth or exposed root | 5.5% | 1,160 | 624 | $102K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.5% | 698 | 366 | $101K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.9% | 1,521 | 1,077 | $90K |
| D1351 | Sealant - per tooth | 4.7% | 3,241 | 503 | $88K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.2% | 3,249 | 3,110 | $78K |
| D0140 | Limited oral evaluation - problem focused | 4.2% | 2,111 | 2,004 | $77K |
| D0274 | Bitewings - four radiographic images | 4.0% | 2,274 | 2,143 | $74K |
16 more codes
| D1206 | Topical application of fluoride varnish | 3.9% | 3,390 | $71K |
| D0330 | Panoramic radiographic image | 3.8% | 1,318 | $70K |
| D1120 | Dental cleaning, child | 3.4% | 1,811 | $64K |
| D4346 | 2.1% | 271 | $39K | |
| D2331 | 1.9% | 358 | $35K | |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 2,481 | $31K |
| D0272 | Bitewings - two radiographic images | 1.2% | 1,014 | $23K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 773 | $22K |
| D2335 | 1.0% | 120 | $19K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 94 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,025 | $11K |
| D2332 | <1% | 69 | $8K | |
| D2330 | <1% | 61 | $5K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 37 | $4K |
| D1354 | <1% | 68 | $2K | |
| D2394 | <1% | 15 | $2K |
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 officialHARRISON, KEITH (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Harrison Dental Group II, LLC | Fort Wayne, IN | $3.07M |
| Harrison Dental Group IV LLC | Fort Wayne, IN | $930K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.