Dental
Jeffersonville Family Dental, PC
Jeffersonville Family Dental, PC was paid $69K by Medicaid between Jan 2020 and Nov 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 43% of everything it billed.
33Billing provider infoJEFFERSONVILLE FAMILY DENTAL, PC
JEFFERSONVILLE, IN 47130
JEFFERSONVILLE, IN 47130
33aNPI1144696600assigned 08/19/2015
33bProvider typeDentist
28Total paid$69K
24GClaims1,917
24DCodes billed10
24AFirst – last monthJan 2020 – Nov 2024
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#220 of 452
Median peer was paid$59K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2020 | 113 | $2K | |
| 2021 | 299 | $10K | |
| 2022 | 447 | $16K | |
| 2023 | 502 | $20K | |
| 2024incomplete | 556 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 43% | 637 | 556 | $30K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 533 | 457 | $12K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 125 | 105 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 203 | 172 | $7K |
| D0140 | Limited oral evaluation - problem focused | 9.4% | 185 | 170 | $7K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.2% | 47 | 25 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 94 | 82 | $990.14 |
| D0274 | Bitewings - four radiographic images | 1.3% | 33 | 24 | $935.42 |
| D0330 | Panoramic radiographic image | <1% | 15 | 13 | $642.80 |
| D1999 | 0% | 45 | 40 | $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 officialSMITH, JAMES (PRESIDENT)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.