West 38TH Dental, LTD

West 38TH Dental, LTD was paid $4K by Medicaid between Mar 2019 and Jun 2022, across 4 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 52% of everything it billed.

33Billing provider infoWEST 38TH DENTAL, LTD
INDIANAPOLIS, IN 46254

33aNPI1245649052assigned 08/06/2014

33bProvider typeDentist

28Total paid$4K

24GClaims126

24DCodes billed4

24AFirst – last monthMar 2019 – Jun 2022

Compared with peers

Next to other Dentist providers in Indiana

Rank by total paid#349 of 452

Median peer was paid$59K

This provider vs. median0.1×

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
2019	21	$493.45
2021	63	$2K
2022	42	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	52%	68	56	$2K
D0210	Intraoral - complete series of radiographic images	20%	17	12	$760.56
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	28	26	$541.88
D1110	Prophylaxis - adult	13%	13	12	$515.73

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 officialKONG, SUNG (OWNER)

Same official

Other billing entities under KONG, SUNG

Full network →

Provider	Location	Paid
Bright Smile Dental Care	Fishers, IN	$14K
Center Grove Dental, LLC	Greenwood, IN	$157.69

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