Dental
Ballantine, Kiah
Ballantine, Kiah was paid $56K by Medicaid between Jun 2019 and Nov 2020, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 34% of everything it billed.
33Billing provider infoBALLANTINE, KIAH
HIGHLAND, IN 46322
HIGHLAND, IN 46322
33aNPI1316432305assigned 06/22/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$56K
24GClaims2,880
24DCodes billed13
24AFirst – last monthJun 2019 – Nov 2020
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#369 of 723
Median peer was paid$60K
This provider vs. median0.9×
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 | 109 | $2K | |
| 2020 | 2,771 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 34% | 480 | 412 | $19K |
| D1206 | Topical application of fluoride varnish | 21% | 479 | 411 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 326 | 277 | $9K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.5% | 163 | 146 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.6% | 161 | 137 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.6% | 315 | 200 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.3% | 36 | 32 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 325 | 284 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 2.2% | 20 | 20 | $1K |
| D0272 | Bitewings - two radiographic images | 1.4% | 83 | 70 | $761.40 |
| D9310 | 1.3% | 45 | 45 | $752.40 | |
| D0274 | Bitewings - four radiographic images | <1% | 14 | 12 | $236.60 |
1 more codes
| D1999 | 0% | 433 | $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.