Clinic
Fairview Family Dental LLC
Fairview Family Dental LLC was paid $155K by Medicaid between Aug 2021 and Nov 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.
33Billing provider infoFAIRVIEW FAMILY DENTAL LLC
GREENWOOD, IN 46142
GREENWOOD, IN 46142
33aNPI1184229809assigned 12/01/2020
33bProvider typeDental Clinic/Center
28Total paid$155K
24GClaims4,048
24DCodes billed9
24AFirst – last monthAug 2021 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Indiana
Rank by total paid#67 of 123
Median peer was paid$191K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2021 | 76 | $4K | |
| 2022 | 1,113 | $42K | |
| 2023 | 1,524 | $57K | |
| 2024incomplete | 1,335 | $51K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 29% | 881 | 800 | $44K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 621 | 533 | $23K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 259 | 141 | $20K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 767 | 718 | $19K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 368 | 338 | $16K |
| D1206 | Topical application of fluoride varnish | 6.0% | 443 | 405 | $9K |
| D0274 | Bitewings - four radiographic images | 5.8% | 273 | 239 | $9K |
| D0330 | Panoramic radiographic image | 5.2% | 232 | 202 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.1% | 204 | 197 | $6K |
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 officialTRAGER, STEPHEN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Meridian Dental Center LLC | Indianapolis, IN | $2.48M |
| Westside Family Dental | Indianapolis, IN | $1.32M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.