Heritage Family Dental

Heritage Family Dental was paid $319K by Medicaid between Jan 2018 and Mar 2020, across 19 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 22% of everything it billed.

33Billing provider infoHERITAGE FAMILY DENTAL
EVANSVILLE, IN 47715

33aNPI1154693752assigned 01/30/2012

33bProvider typeGeneral Practice Dentistry

28Total paid$319K

24GClaims16,568

24DCodes billed19

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#175 of 723

Median peer was paid$60K

This provider vs. median5.3×

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	7,484	$31K
2019	7,783	$247K
2020	1,301	$41K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2930	Prefabricated stainless steel crown - primary tooth	22%	1,030	281	$70K
D1120	Dental cleaning, childProphylaxis - child	15%	2,708	2,436	$48K
D1208	Topical application of fluoride, excluding varnish	12%	3,212	2,868	$40K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	2,803	2,522	$34K
D1110	Prophylaxis - adult	9.0%	1,114	1,010	$29K
D0272	Bitewings - two radiographic images	5.8%	1,389	1,235	$18K
D0150	Comprehensive oral evaluation - new or established patient	4.7%	735	678	$15K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	4.4%	803	677	$14K
D2140		3.4%	268	155	$11K
D0210	Intraoral - complete series of radiographic images	3.3%	458	385	$11K
D0274	Bitewings - four radiographic images	2.7%	411	374	$8K
D1351	Sealant - per tooth	2.2%	502	132	$7K

7 more codes

D7140	Extraction, erupted tooth or exposed root	1.4%	187	$4K
D2150	Silver amalgam - two surfaces, primary or permanent	<1%	76	$2K
D0220	Intraoral - periapical first radiographic image	<1%	427	$2K
D0140	Limited oral evaluation - problem focused	<1%	196	$2K
D0330	Panoramic radiographic image	<1%	95	$2K
D0230	Intraoral - periapical each additional radiographic image	<1%	105	$479.20
D0270		<1%	49	$138.32

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 officialMCCONNELL, NISSA (OWNER/DENTIST)