Clinic
Secure Dental III LLC
Secure Dental III LLC was paid $1.16M by Medicaid between Mar 2021 and Nov 2024, across 21 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 24% of everything it billed.
33Billing provider infoSECURE DENTAL III LLC
LAKE STATION, IN 46405
LAKE STATION, IN 46405
33aNPI1235733858assigned 11/24/2020
33bProvider typeDental Clinic/Center
28Total paid$1.16M
24GClaims21,423
24DCodes billed21
24AFirst – last monthMar 2021 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Indiana
Rank by total paid#25 of 123
Median peer was paid$191K
This provider vs. median6.1×
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 | |
|---|---|---|---|
| 2021 | 2,749 | $160K | |
| 2022 | 5,728 | $310K | |
| 2023 | 7,176 | $398K | |
| 2024incomplete | 5,770 | $292K |
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 | 24% | 1,510 | 632 | $274K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 13% | 1,515 | 823 | $154K |
| D2394 | 11% | 1,050 | 706 | $128K | |
| D2335 | 9.6% | 681 | 339 | $111K | |
| D1110 | Prophylaxis - adult | 8.5% | 1,847 | 1,755 | $99K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 1,585 | 1,494 | $63K |
| D0210 | Intraoral - complete series of radiographic images | 5.2% | 1,084 | 947 | $60K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 3,965 | 1,847 | $41K |
| D0140 | Limited oral evaluation - problem focused | 3.2% | 927 | 883 | $37K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.1% | 456 | 251 | $36K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 2,694 | 2,488 | $30K |
| D0274 | Bitewings - four radiographic images | 2.6% | 828 | 791 | $30K |
9 more codes
| D0120 | Dental checkup, returning patient | 2.5% | 1,142 | $29K |
| D1351 | Sealant - per tooth | 2.4% | 963 | $27K |
| D1206 | Topical application of fluoride varnish | 1.2% | 618 | $13K |
| D1120 | Dental cleaning, child | <1% | 245 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 95 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 68 | $4K |
| D2332 | <1% | 22 | $3K | |
| D0330 | Panoramic radiographic image | <1% | 42 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 86 | $2K |
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 officialJAFRI, NAZISH (OWNER DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Secure Dental II, LLC | Davenport, IA | $8.52M |
| Secure Dental Viii | Indianan, IN | $1.72M |
| Secure Dental Vii | Portage, IN | $1.68M |
| Secure Dental II | Moline, IL | $227K |
| Secure Dental Vi | Schererville, IN | $2K |
| Secure Dental Vi | Moline, IL | $124.80 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.