Dental
Indiana Emergency Dental Bloomington LLC
Indiana Emergency Dental Bloomington LLC was paid $899.92 by Medicaid between Dec 2024 and Dec 2024, across 1 billing code. Its largest line is D0330, Panoramic radiographic image — 100% of everything it billed.
33Billing provider infoINDIANA EMERGENCY DENTAL BLOOMINGTON LLC
BLOOMINGTON, IN 47403
BLOOMINGTON, IN 47403
33aNPI1285468165assigned 08/31/2024
33bProvider typeGeneral Practice Dentistry
28Total paid$899.92
24GClaims14
24DCodes billed1
24AFirst – last monthDec 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#638 of 723
Median peer was paid$60K
This provider vs. median0.0×
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 | 14 | $899.92 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 100% | 14 | 14 | $899.92 |
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 officialGARRY, EDWARD (OWNER, DMD)
| Provider | Location | Paid |
|---|---|---|
| Indiana Emergency Dental | Indianapolis, IN | $171K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.