Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IN › Greenwood › NPI 1205004397
Dental

Dentsmart

Dentsmart was paid $13K by Medicaid between Jan 2018 and Nov 2019, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 23% of everything it billed.

33Billing provider infoDENTSMART
GREENWOOD, IN 46142
33aNPI1205004397assigned 02/12/2008
28Total paid$13K
24GClaims5,493
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#496 of 723
Median peer was paid$60K
This provider vs. median0.2×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20185,193$7K
2019300$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 23% 359 166 $3K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 19% 1,278 1,141 $2K
D1110 Prophylaxis - adult 13% 544 480 $2K
D1208 Topical application of fluoride, excluding varnish 12% 1,089 969 $2K
D1120 Dental cleaning, childProphylaxis - child 11% 885 794 $1K
D2391 Resin-based composite - one surface, posterior, primary or permanent 7.5% 377 168 $960.15
D0210 Intraoral - complete series of radiographic images 4.3% 60 52 $550.83
D0150 Comprehensive oral evaluation - new or established patient 4.1% 133 117 $518.30
D0274 Bitewings - four radiographic images 2.3% 340 299 $291.91
D0272 Bitewings - two radiographic images 1.7% 246 222 $222.05
D0140 Limited oral evaluation - problem focused 1.2% 135 117 $148.32
D0220 Intraoral - periapical first radiographic image 0% 47 40 $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 officialCABBELL, SHAWN (CEO)
Same official

Other billing entities under CABBELL, SHAWN

Full network →
ProviderLocationPaid
Viva DentalIndianapolis, IN$789K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.