Clinic
Churubusco Family Dentistry, LLC
Churubusco Family Dentistry, LLC was paid $240K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.
33Billing provider infoCHURUBUSCO FAMILY DENTISTRY, LLC
CHURUBUSCO, IN 46723
CHURUBUSCO, IN 46723
33aNPI1336310218assigned 03/18/2008
33bProvider typeDental Clinic/Center
28Total paid$240K
24GClaims8,498
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Indiana
Rank by total paid#58 of 123
Median peer was paid$191K
This provider vs. median1.3×
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 | 1,059 | $9K | |
| 2019 | 1,399 | $41K | |
| 2020 | 1,177 | $36K | |
| 2021 | 1,590 | $50K | |
| 2022 | 1,409 | $43K | |
| 2023 | 1,181 | $36K | |
| 2024incomplete | 683 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 40% | 2,253 | 2,113 | $96K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 2,948 | 2,764 | $61K |
| D0274 | Bitewings - four radiographic images | 13% | 965 | 896 | $32K |
| D1208 | Topical application of fluoride, excluding varnish | 9.6% | 1,322 | 1,226 | $23K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.2% | 728 | 686 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 147 | 131 | $5K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 16 | 12 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 17 | 14 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 83 | 65 | $840.72 |
| D0272 | Bitewings - two radiographic images | <1% | 19 | 13 | $306.53 |
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 officialHLADIN, DIONNE (MEMBER)