Dental
Mitthoeffer Family Dental, LLC
Mitthoeffer Family Dental, LLC was paid $1.03M by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoMITTHOEFFER FAMILY DENTAL, LLC
INDIANAPOLIS, IN 46229
INDIANAPOLIS, IN 46229
33aNPI1154879856assigned 09/12/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$1.03M
24GClaims24,189
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#63 of 723
Median peer was paid$60K
This provider vs. median17×
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 | 704 | $5K | |
| 2019 | 1,509 | $56K | |
| 2020 | 2,625 | $110K | |
| 2021 | 4,073 | $178K | |
| 2022 | 4,493 | $198K | |
| 2023 | 6,370 | $287K | |
| 2024incomplete | 4,415 | $198K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 2,548 | 1,152 | $197K |
| D0210 | Intraoral - complete series of radiographic images | 14% | 2,692 | 2,140 | $149K |
| D1110 | Prophylaxis - adult | 13% | 2,880 | 2,648 | $138K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 3,119 | 2,839 | $112K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.3% | 810 | 447 | $75K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.0% | 3,174 | 2,910 | $72K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.6% | 418 | 166 | $68K |
| D0274 | Bitewings - four radiographic images | 6.3% | 1,903 | 1,752 | $65K |
| D1206 | Topical application of fluoride varnish | 3.5% | 2,041 | 1,881 | $36K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.8% | 1,098 | 1,020 | $29K |
| D4346 | 1.9% | 108 | 99 | $19K | |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 1,452 | 1,346 | $19K |
7 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 255 | $15K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 194 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 1,281 | $14K |
| D0140 | Limited oral evaluation - problem focused | <1% | 89 | $3K |
| D2394 | <1% | 20 | $2K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 67 | $796.36 |
| D0330 | Panoramic radiographic image | <1% | 40 | $258.08 |
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 officialHURLEY, LANA (PRACTICE DIRECTOR)