Dental
Washington Street Dentistry INC.
Washington Street Dentistry INC. was paid $1.25M by Medicaid between Feb 2018 and Dec 2024, across 17 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 22% of everything it billed.
33Billing provider infoWASHINGTON STREET DENTISTRY INC.
INDIANAPOLIS, IN 46229
INDIANAPOLIS, IN 46229
33aNPI1225286099assigned 09/04/2008
33bProvider typeDentist
28Total paid$1.25M
24GClaims26,419
24DCodes billed17
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#45 of 452
Median peer was paid$59K
This provider vs. median21×
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 | 2,598 | $20K | |
| 2019 | 3,629 | $170K | |
| 2020 | 3,588 | $209K | |
| 2021 | 4,284 | $254K | |
| 2022 | 4,482 | $225K | |
| 2023 | 4,143 | $171K | |
| 2024incomplete | 3,695 | $201K |
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 | 22% | 1,765 | 449 | $277K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 3,101 | 1,524 | $201K |
| D1110 | Prophylaxis - adult | 15% | 4,161 | 3,861 | $187K |
| D0210 | Intraoral - complete series of radiographic images | 8.1% | 2,023 | 1,843 | $102K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.1% | 1,198 | 704 | $89K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.0% | 4,104 | 3,837 | $88K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.0% | 2,167 | 1,969 | $76K |
| D0274 | Bitewings - four radiographic images | 5.4% | 2,136 | 1,973 | $68K |
| D0140 | Limited oral evaluation - problem focused | 3.8% | 1,334 | 1,227 | $47K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 586 | 410 | $29K |
| D1208 | Topical application of fluoride, excluding varnish | 1.8% | 1,258 | 1,201 | $23K |
| D0330 | Panoramic radiographic image | 1.7% | 444 | 410 | $22K |
5 more codes
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 officialCHURCH, MATTHEW (OWNER/DENTIST)