Dental
Indy West Smiles Youth Dentistry, LLC
Indy West Smiles Youth Dentistry, LLC was paid $12.52M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 13% of everything it billed.
33Billing provider infoINDY WEST SMILES YOUTH DENTISTRY, LLC
INDIANAPOLIS, IN 46222
INDIANAPOLIS, IN 46222
33aNPI1134164445assigned 06/19/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$12.52M
24GClaims442,759
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#3 of 723
Median peer was paid$60K
This provider vs. median210×
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 | 53,658 | $130K | |
| 2019 | 72,040 | $2.22M | |
| 2020 | 50,319 | $1.73M | |
| 2021 | 70,552 | $2.25M | |
| 2022 | 69,524 | $2.14M | |
| 2023 | 75,956 | $2.34M | |
| 2024incomplete | 50,710 | $1.73M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 12,278 | 5,680 | $1.63M |
| D1351 | Sealant - per tooth | 11% | 53,607 | 16,849 | $1.35M |
| D1206 | Topical application of fluoride varnish | 10% | 63,868 | 60,692 | $1.27M |
| D1120 | Dental cleaning, childProphylaxis - child | 9.4% | 38,355 | 36,443 | $1.18M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.2% | 56,176 | 53,383 | $1.15M |
| D1110 | Prophylaxis - adult | 8.9% | 25,344 | 24,079 | $1.12M |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.9% | 11,191 | 6,939 | $743K |
| D2140 | 5.8% | 13,985 | 9,377 | $726K | |
| D0274 | Bitewings - four radiographic images | 5.3% | 22,486 | 21,311 | $664K |
| D0272 | Bitewings - two radiographic images | 4.6% | 27,762 | 26,381 | $582K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.1% | 15,157 | 13,676 | $389K |
| D2160 | 1.9% | 2,971 | 1,977 | $236K |
24 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 7,094 | $222K |
| D0210 | Intraoral - complete series of radiographic images | 1.7% | 7,005 | $217K |
| D7140 | Extraction, erupted tooth or exposed root | 1.7% | 2,994 | $215K |
| D1354 | 1.6% | 2,638 | $205K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,316 | $104K |
| D0240 | <1% | 6,537 | $103K | |
| D2331 | <1% | 928 | $74K | |
| D0330 | Panoramic radiographic image | <1% | 2,067 | $64K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 5,873 | $61K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,466 | $44K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 5,466 | $40K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,097 | $35K |
| D7111 | <1% | 488 | $34K | |
| D2330 | <1% | 332 | $25K | |
| D1510 | <1% | 81 | $15K | |
| D4346 | <1% | 55 | $10K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 84 | $9K |
| D0270 | <1% | 115 | $2K | |
| D2920 | <1% | 31 | $2K | |
| D0603 | 0% | 45,097 | $0.00 | |
| D0602 | 0% | 8,329 | $0.00 | |
| D1330 | 0% | 114 | $0.00 | |
| D1310 | 0% | 114 | $0.00 | |
| D0350 | 0% | 258 | $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 officialPETERSON, HELEN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Indy East Smiles Youth Dentistry LLC | Indianapolis, IN | $10.94M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.