Clinic
Indy Dental Health-Shelbyville
Indy Dental Health-Shelbyville was paid $780K by Medicaid between Oct 2021 and Dec 2024, across 23 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.
33Billing provider infoINDY DENTAL HEALTH-SHELBYVILLE
SHELBYVILLE, IN 46176
SHELBYVILLE, IN 46176
33aNPI1184294837assigned 06/25/2021
33bProvider typeDental Clinic/Center
28Total paid$780K
24GClaims19,573
24DCodes billed23
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Indiana
Rank by total paid#32 of 123
Median peer was paid$191K
This provider vs. median4.1×
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 | 474 | $14K | |
| 2022 | 6,374 | $248K | |
| 2023 | 6,854 | $270K | |
| 2024incomplete | 5,871 | $247K |
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 | 16% | 1,694 | 1,013 | $127K |
| D1110 | Prophylaxis - adult | 10% | 1,651 | 1,470 | $81K |
| D7140 | Extraction, erupted tooth or exposed root | 8.9% | 875 | 300 | $69K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.8% | 2,272 | 2,039 | $53K |
| D0140 | Limited oral evaluation - problem focused | 6.6% | 1,412 | 1,221 | $51K |
| D0330 | Panoramic radiographic image | 6.6% | 1,168 | 973 | $51K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.6% | 890 | 592 | $51K |
| D0274 | Bitewings - four radiographic images | 6.3% | 1,582 | 1,385 | $49K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.6% | 1,118 | 953 | $43K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.8% | 407 | 285 | $38K |
| D0210 | Intraoral - complete series of radiographic images | 3.6% | 751 | 536 | $28K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.0% | 744 | 664 | $23K |
11 more codes
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 893 | $18K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.3% | 719 | $18K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 1,496 | $17K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.1% | 97 | $16K |
| D1206 | Topical application of fluoride varnish | 1.4% | 476 | $11K |
| D2335 | 1.4% | 81 | $11K | |
| D1351 | Sealant - per tooth | 1.3% | 417 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 606 | $6K |
| D0272 | Bitewings - two radiographic images | <1% | 188 | $4K |
| D2394 | <1% | 18 | $2K | |
| D2332 | <1% | 18 | $2K |
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 officialFRAIZ, MATTHEW (DENTIST-OWNER)
| Provider | Location | Paid |
|---|---|---|
| Indy Dental Health-Greenwood | Greenwood, IN | $312K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.