Clinic
White River Dental LLC
White River Dental LLC was paid $6.92M by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is D1354, — 38% of everything it billed.
33Billing provider infoWHITE RIVER DENTAL LLC
COLUMBUS, IN 47201
COLUMBUS, IN 47201
33aNPI1194963181assigned 01/28/2009
33bProvider typeDental Clinic/Center
28Total paid$6.92M
24GClaims132,441
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Indiana
Rank by total paid#2 of 123
Median peer was paid$191K
This provider vs. median36×
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 | 8,767 | $70K | |
| 2019 | 14,471 | $575K | |
| 2020 | 16,021 | $821K | |
| 2021 | 21,575 | $1.19M | |
| 2022 | 28,255 | $1.79M | |
| 2023 | 34,539 | $2.18M | |
| 2024incomplete | 8,813 | $292K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1354 | 38% | 32,184 | 4,867 | $2.62M | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 14% | 6,725 | 2,462 | $1.00M |
| D0210 | Intraoral - complete series of radiographic images | 4.2% | 5,166 | 4,441 | $291K |
| D7140 | Extraction, erupted tooth or exposed root | 4.1% | 4,011 | 1,551 | $283K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.8% | 4,455 | 2,261 | $261K |
| D7240 | Removal of impacted tooth - completely bony | 3.7% | 890 | 256 | $253K |
| D1110 | Prophylaxis - adult | 3.3% | 5,524 | 4,965 | $230K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.9% | 2,603 | 1,482 | $199K |
| D0140 | Limited oral evaluation - problem focused | 2.8% | 5,783 | 5,116 | $193K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 5,319 | 4,768 | $173K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.3% | 7,852 | 7,069 | $157K |
| D1351 | Sealant - per tooth | 1.9% | 6,764 | 1,300 | $134K |
30 more codes
| D1120 | Dental cleaning, child | 1.8% | 4,712 | $126K |
| D1206 | Topical application of fluoride varnish | 1.7% | 7,572 | $120K |
| D2335 | 1.5% | 698 | $101K | |
| D0274 | Bitewings - four radiographic images | 1.4% | 3,031 | $95K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 8,606 | $89K |
| D7250 | 1.1% | 365 | $78K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.1% | 3,421 | $73K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 8,254 | $65K |
| D0330 | Panoramic radiographic image | <1% | 1,361 | $55K |
| D4346 | <1% | 346 | $55K | |
| D2332 | <1% | 525 | $53K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 263 | $38K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 918 | $35K |
| D2949 | <1% | 172 | $29K | |
| D2394 | <1% | 255 | $24K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,587 | $20K |
| D3240 | <1% | 173 | $18K | |
| D0272 | Bitewings - two radiographic images | <1% | 931 | $16K |
| D9243 | <1% | 306 | $16K | |
| D9239 | <1% | 99 | $5K | |
| D1510 | <1% | 25 | $4K | |
| D2331 | <1% | 39 | $4K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 72 | $2K |
| D1320 | <1% | 35 | $738.90 | |
| D2740 | Crown - porcelain/ceramic | <1% | 15 | $500.00 |
| D0383 | <1% | 140 | $424.47 | |
| D0270 | <1% | 30 | $96.83 | |
| D4999 | 0% | 34 | $0.00 | |
| D0350 | 0% | 614 | $0.00 | |
| D0431 | 0% | 566 | $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 officialSTRICKLAND, AARON (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Gateway Dental Columbus LLC | Columbus, IN | $215.50 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.