Dental
Angola Family Dentistry, LLC
Angola Family Dentistry, LLC was paid $198K by Medicaid between Jan 2018 and May 2023, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 36% of everything it billed.
33Billing provider infoANGOLA FAMILY DENTISTRY, LLC
ANGOLA, IN 46703
ANGOLA, IN 46703
33aNPI1346663044assigned 01/31/2014
33bProvider typeDentist
28Total paid$198K
24GClaims8,613
24DCodes billed12
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#150 of 452
Median peer was paid$59K
This provider vs. median3.4×
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 | 1,278 | $4K | |
| 2019 | 1,802 | $51K | |
| 2020 | 1,520 | $38K | |
| 2021 | 1,686 | $44K | |
| 2022 | 1,677 | $43K | |
| 2023 | 650 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 36% | 1,876 | 1,708 | $71K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 2,613 | 2,389 | $47K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 1,381 | 1,266 | $23K |
| D0272 | Bitewings - two radiographic images | 11% | 1,198 | 1,087 | $21K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.0% | 813 | 740 | $18K |
| D0274 | Bitewings - four radiographic images | 5.0% | 339 | 312 | $10K |
| D0330 | Panoramic radiographic image | 1.5% | 78 | 72 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 38 | 13 | $2K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 63 | 38 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 165 | 139 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 20 | 14 | $433.30 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 29 | 28 | $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 officialGABET, CHARLES (PRESIDENT)