Dental
Anderson Pediatric Dentistry
Anderson Pediatric Dentistry was paid $3.65M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 33% of everything it billed.
33Billing provider infoANDERSON PEDIATRIC DENTISTRY
ANDERSON, IN 46012
ANDERSON, IN 46012
33aNPI1104110923assigned 06/09/2011
33bProvider typePediatric Dentist
28Total paid$3.65M
24GClaims119,249
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Indiana
Rank by total paid#15 of 155
Median peer was paid$414K
This provider vs. median8.8×
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 | 19,412 | $91K | |
| 2019 | 18,838 | $650K | |
| 2020 | 14,411 | $493K | |
| 2021 | 16,292 | $558K | |
| 2022 | 16,575 | $599K | |
| 2023 | 17,730 | $655K | |
| 2024incomplete | 15,991 | $602K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 33% | 10,072 | 2,091 | $1.19M |
| D1120 | Dental cleaning, childProphylaxis - child | 9.3% | 13,049 | 11,879 | $340K |
| D1351 | Sealant - per tooth | 8.1% | 13,450 | 2,313 | $296K |
| D1208 | Topical application of fluoride, excluding varnish | 7.8% | 16,561 | 15,035 | $286K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.0% | 14,363 | 12,986 | $254K |
| D7140 | Extraction, erupted tooth or exposed root | 6.4% | 4,056 | 1,773 | $233K |
| D0272 | Bitewings - two radiographic images | 5.1% | 9,832 | 8,895 | $185K |
| D0210 | Intraoral - complete series of radiographic images | 4.2% | 3,168 | 2,450 | $154K |
| D1110 | Prophylaxis - adult | 3.9% | 3,638 | 3,267 | $142K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.4% | 1,872 | 712 | $126K |
| D0240 | 2.5% | 10,325 | 4,380 | $90K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 2,596 | 2,396 | $74K |
14 more codes
| D0140 | Limited oral evaluation - problem focused | 1.6% | 1,975 | $57K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.5% | 2,299 | $54K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 1,057 | $49K |
| D2140 | <1% | 1,224 | $36K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,351 | $35K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 3,476 | $22K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 215 | $13K |
| D1516 | <1% | 35 | $5K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 198 | $4K |
| D9248 | <1% | 217 | $3K | |
| D9920 | <1% | 141 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 12 | $645.20 |
| D2330 | <1% | 46 | $79.18 | |
| D1330 | 0% | 1,021 | $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 officialOLABI, NASSIM (OWNER/PEDIATRIC DENTIST)