Dental
Greenfield Pediatric Dentistry LLC
Greenfield Pediatric Dentistry LLC was paid $330K by Medicaid between Jun 2022 and Dec 2024, across 21 billing codes. Its largest line is D1354, — 20% of everything it billed.
33Billing provider infoGREENFIELD PEDIATRIC DENTISTRY LLC
GREENFIELD, IN 46140
GREENFIELD, IN 46140
33aNPI1215608831assigned 09/23/2021
33bProvider typePediatric Dentist
28Total paid$330K
24GClaims9,372
24DCodes billed21
24AFirst – last monthJun 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Indiana
Rank by total paid#81 of 155
Median peer was paid$414K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2022 | 662 | $21K | |
| 2023 | 4,445 | $176K | |
| 2024incomplete | 4,265 | $132K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1354 | 20% | 694 | 133 | $64K | |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 1,641 | 1,540 | $57K |
| D1206 | Topical application of fluoride varnish | 12% | 1,891 | 1,768 | $40K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.1% | 177 | 100 | $27K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.6% | 684 | 642 | $25K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.1% | 993 | 925 | $23K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.3% | 621 | 545 | $17K |
| D1351 | Sealant - per tooth | 5.2% | 626 | 101 | $17K |
| D7140 | Extraction, erupted tooth or exposed root | 3.3% | 131 | 67 | $11K |
| D0272 | Bitewings - two radiographic images | 3.0% | 454 | 420 | $10K |
| D0140 | Limited oral evaluation - problem focused | 3.0% | 269 | 252 | $10K |
| D1110 | Prophylaxis - adult | 2.0% | 137 | 127 | $7K |
9 more codes
| D0330 | Panoramic radiographic image | 1.2% | 88 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 61 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 345 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 253 | $3K |
| D0240 | <1% | 121 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 89 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 42 | $1K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 40 | $1K |
| D9920 | <1% | 15 | $467.50 |
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 officialCAMACHO, ALONDRA (ADMINISTRATIVE ASSISTANT)
| Provider | Location | Paid |
|---|---|---|
| Yepes DDS LLC | Fishers, IN | $657K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.