Dental
Pediatric Dentistry of Noblesville
Pediatric Dentistry of Noblesville was paid $2.58M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY OF NOBLESVILLE
NOBLESVILLE, IN 46060
NOBLESVILLE, IN 46060
33aNPI1174657373assigned 03/16/2007
33bProvider typePediatric Dentist
28Total paid$2.58M
24GClaims108,621
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Indiana
Rank by total paid#30 of 155
Median peer was paid$414K
This provider vs. median6.2×
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 | |
|---|---|---|---|
| 2018 | 20,841 | $89K | |
| 2019 | 22,095 | $635K | |
| 2020 | 17,258 | $494K | |
| 2021 | 14,414 | $391K | |
| 2022 | 13,280 | $366K | |
| 2023 | 11,550 | $308K | |
| 2024incomplete | 9,183 | $296K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 17,439 | 16,438 | $475K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 23,183 | 21,834 | $435K |
| D1110 | Prophylaxis - adult | 13% | 8,514 | 7,999 | $333K |
| D1206 | Topical application of fluoride varnish | 12% | 17,140 | 16,147 | $306K |
| D0272 | Bitewings - two radiographic images | 5.3% | 7,101 | 6,660 | $138K |
| D1208 | Topical application of fluoride, excluding varnish | 4.8% | 7,111 | 6,695 | $123K |
| D1351 | Sealant - per tooth | 4.5% | 5,168 | 1,349 | $116K |
| D0274 | Bitewings - four radiographic images | 4.4% | 4,097 | 3,826 | $114K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.6% | 944 | 192 | $93K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.5% | 2,751 | 2,531 | $66K |
| D0330 | Panoramic radiographic image | 2.4% | 1,192 | 1,123 | $63K |
| D0140 | Limited oral evaluation - problem focused | 2.3% | 2,022 | 1,886 | $59K |
11 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 1,310 | $56K |
| D7140 | Extraction, erupted tooth or exposed root | 2.1% | 920 | $54K |
| D0240 | 1.8% | 4,375 | $46K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.6% | 922 | $42K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 1,161 | $29K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,485 | $12K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 409 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,151 | $5K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 137 | $2K |
| D2330 | <1% | 39 | $1K | |
| D3120 | 0% | 50 | $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 officialFORGEY, JOE (PARTNER)