Clinic
Indy South Dental LLC
Indy South Dental LLC was paid $53K by Medicaid between Jan 2024 and Nov 2024, across 8 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 39% of everything it billed.
33Billing provider infoINDY SOUTH DENTAL LLC
INDIANAPOLIS, IN 46237
INDIANAPOLIS, IN 46237
33aNPI1205527868assigned 05/16/2023
33bProvider typeDental Clinic/Center
28Total paid$53K
24GClaims743
24DCodes billed8
24AFirst – last monthJan 2024 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Indiana
Rank by total paid#81 of 123
Median peer was paid$191K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2024incomplete | 743 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 39% | 127 | 56 | $20K |
| D0210 | Intraoral - complete series of radiographic images | 22% | 201 | 184 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 21% | 249 | 229 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 82 | 29 | $8K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 19 | 19 | $774.90 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 26 | 24 | $464.38 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 25 | 25 | $407.52 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 14 | 13 | $175.44 |
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 officialPATEL, ANKIT (CEO)
| Provider | Location | Paid |
|---|---|---|
| Columbus Dental Corp | Columbus, IN | $6.43M |
| Queen City Dental LLC | Cincinnati, OH | $2.72M |
| Anderson Dental LLC | Anderson, IN | $1.55M |
| Nederland Smile PC | Texas City, TX | $406K |
| Indy West Dental LLC | Indianapolis, IN | $324K |
| Indy East Dental LLC | Indianapolis, IN | $242K |
| Sushkap Dental PLLC | Dickinson, TX | $183K |
| LPR Dental Spa LLC | Schererville, IN | $103K |
| Uniq Therapy Services INC | Warminster, PA | $9K |
| Nilkanth Ams, INC | Calexico, CA | $901.78 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.