Dental
Anne, Hari Priya
Anne, Hari Priya was paid $38K by Medicaid between Apr 2018 and Jul 2024, across 16 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 19% of everything it billed.
33Billing provider infoANNE, HARI PRIYA
SOUTH BEND, IN 46628
SOUTH BEND, IN 46628
33aNPI1144696410assigned 08/20/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$38K
24GClaims2,037
24DCodes billed16
24AFirst – last monthApr 2018 – Jul 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#413 of 723
Median peer was paid$60K
This provider vs. median0.6×
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 | 1,093 | $3K | |
| 2019 | 251 | $6K | |
| 2024incomplete | 693 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 19% | 288 | 278 | $7K |
| D1110 | Prophylaxis - adult | 12% | 133 | 130 | $5K |
| D0274 | Bitewings - four radiographic images | 12% | 196 | 192 | $5K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 11% | 41 | 27 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.6% | 36 | 24 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 6.4% | 357 | 330 | $2K |
| D0140 | Limited oral evaluation - problem focused | 6.2% | 68 | 68 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.0% | 418 | 291 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.9% | 18 | 12 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.5% | 60 | 60 | $2K |
| D1206 | Topical application of fluoride varnish | 3.2% | 106 | 102 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.9% | 73 | 69 | $1K |
4 more codes
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.