Dental
The Dental Center of Mishawaka PC
The Dental Center of Mishawaka PC was paid $4.68M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 12% of everything it billed.
33Billing provider infoTHE DENTAL CENTER OF MISHAWAKA PC
MISHAWAKA, IN 46544
MISHAWAKA, IN 46544
33aNPI1295940518assigned 05/11/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$4.68M
24GClaims160,925
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#13 of 723
Median peer was paid$60K
This provider vs. median78×
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 | 13,069 | $66K | |
| 2019 | 18,261 | $602K | |
| 2020 | 21,650 | $541K | |
| 2021 | 33,321 | $913K | |
| 2022 | 27,646 | $943K | |
| 2023 | 24,318 | $788K | |
| 2024incomplete | 22,660 | $824K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 8,983 | 5,161 | $568K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.0% | 21,178 | 19,238 | $421K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.7% | 13,812 | 12,588 | $405K |
| D1110 | Prophylaxis - adult | 8.1% | 9,243 | 8,422 | $380K |
| D1351 | Sealant - per tooth | 8.0% | 17,163 | 3,250 | $372K |
| D1206 | Topical application of fluoride varnish | 6.9% | 17,290 | 15,716 | $324K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.3% | 6,266 | 3,541 | $297K |
| D1354 | 5.8% | 4,699 | 964 | $269K | |
| D0210 | Intraoral - complete series of radiographic images | 3.8% | 4,500 | 3,879 | $177K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.2% | 1,953 | 1,395 | $147K |
| D0274 | Bitewings - four radiographic images | 3.1% | 5,479 | 4,935 | $147K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.1% | 5,567 | 4,626 | $147K |
26 more codes
| D0272 | Bitewings - two radiographic images | 3.0% | 7,547 | $140K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 4,366 | $130K |
| D4346 | 2.6% | 874 | $123K | |
| D0330 | Panoramic radiographic image | 2.4% | 4,164 | $111K |
| D7140 | Extraction, erupted tooth or exposed root | 2.2% | 1,433 | $101K |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 3,356 | $95K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.6% | 540 | $77K |
| D2332 | 1.3% | 643 | $61K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,561 | $40K |
| D2335 | <1% | 280 | $37K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 2,732 | $26K |
| D0240 | <1% | 1,358 | $17K | |
| D2330 | <1% | 236 | $17K | |
| D2331 | <1% | 140 | $10K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 283 | $9K |
| D4910 | <1% | 83 | $8K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 928 | $7K |
| D2394 | <1% | 57 | $6K | |
| D0277 | <1% | 104 | $3K | |
| D7111 | <1% | 26 | $2K | |
| D1510 | <1% | 13 | $2K | |
| D9920 | <1% | 42 | $1K | |
| D0270 | <1% | 59 | $990.20 | |
| D1352 | <1% | 22 | $709.00 | |
| D1999 | <1% | 9,342 | $30.00 | |
| D1330 | 0% | 1,603 | $0.00 |
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 officialNUKES, REBECCA (BUSINESS MANAGER)