Dental
Lakewood Family Dental of Indianapolis LLC
Lakewood Family Dental of Indianapolis LLC was paid $159K by Medicaid between Jan 2023 and Nov 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 15% of everything it billed.
33Billing provider infoLAKEWOOD FAMILY DENTAL OF INDIANAPOLIS LLC
INDIANAPOLIS, IN 46268
INDIANAPOLIS, IN 46268
33aNPI1194213207assigned 04/24/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$159K
24GClaims5,828
24DCodes billed13
24AFirst – last monthJan 2023 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#256 of 723
Median peer was paid$60K
This provider vs. median2.7×
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 | 3,218 | $82K | |
| 2024incomplete | 2,610 | $78K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 15% | 495 | 437 | $24K |
| D1351 | Sealant - per tooth | 13% | 779 | 91 | $21K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 223 | 115 | $16K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10.0% | 703 | 597 | $16K |
| D0274 | Bitewings - four radiographic images | 8.8% | 474 | 418 | $14K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.6% | 294 | 126 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | 6.6% | 537 | 445 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.6% | 989 | 532 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 5.5% | 155 | 151 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.3% | 323 | 253 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.9% | 199 | 187 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 4.6% | 595 | 543 | $7K |
1 more codes
| D0140 | Limited oral evaluation - problem focused | 1.6% | 62 | $3K |
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 officialKAKOLLU, SRINIVASULU (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Lakewood Family Dental INC | Fort Wayne, IN | $8.69M |
| Lakewood Family Dental of Lafayette INC | Lafayette, IN | $2.76M |
| Lakewood Family Dental of Anderson | Anderson, IN | $1.88M |
| Lakewood Family Dental of Kokomo PLLC | Kokomo, IN | $1.75M |
| Lakewood Family Dental of Carmel LLC | Carmel, IN | $603K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.