Dental
Indiana Emergency Dental
Indiana Emergency Dental was paid $171K by Medicaid between Dec 2023 and Dec 2024, across 10 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 56% of everything it billed.
33Billing provider infoINDIANA EMERGENCY DENTAL
INDIANAPOLIS, IN 46227
INDIANAPOLIS, IN 46227
33aNPI1164201612assigned 09/25/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$171K
24GClaims2,556
24DCodes billed10
24AFirst – last monthDec 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#244 of 723
Median peer was paid$60K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2023 | 15 | $230.64 | |
| 2024incomplete | 2,541 | $171K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 56% | 626 | 228 | $95K |
| D0330 | Panoramic radiographic image | 17% | 701 | 624 | $30K |
| D0140 | Limited oral evaluation - problem focused | 12% | 701 | 622 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.3% | 271 | 240 | $11K |
| D7140 | Extraction, erupted tooth or exposed root | 4.5% | 75 | 34 | $8K |
| D0274 | Bitewings - four radiographic images | 1.4% | 93 | 81 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.2% | 22 | 12 | $2K |
| D1110 | Prophylaxis - adult | <1% | 14 | 14 | $868.70 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 25 | 17 | $493.77 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 28 | 27 | $339.60 |
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 officialGARRY, EDWARD (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Indiana Emergency Dental Bloomington LLC | Bloomington, IN | $899.92 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.