Dental
Lakewood Family Dental of Kokomo PLLC
Lakewood Family Dental of Kokomo PLLC was paid $1.75M by Medicaid between Jul 2018 and Nov 2024, across 23 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 19% of everything it billed.
33Billing provider infoLAKEWOOD FAMILY DENTAL OF KOKOMO PLLC
KOKOMO, IN 46902
KOKOMO, IN 46902
33aNPI1346738556assigned 04/24/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$1.75M
24GClaims41,940
24DCodes billed23
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#40 of 723
Median peer was paid$60K
This provider vs. median29×
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 | 354 | $1K | |
| 2019 | 2,069 | $56K | |
| 2020 | 3,378 | $133K | |
| 2021 | 7,223 | $311K | |
| 2022 | 10,443 | $473K | |
| 2023 | 10,947 | $432K | |
| 2024incomplete | 7,526 | $342K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 19% | 1,827 | 751 | $324K |
| D7140 | Extraction, erupted tooth or exposed root | 11% | 2,057 | 564 | $195K |
| D1110 | Prophylaxis - adult | 10% | 3,418 | 3,158 | $176K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.9% | 3,575 | 3,293 | $138K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.7% | 1,643 | 822 | $134K |
| D0210 | Intraoral - complete series of radiographic images | 6.9% | 2,001 | 1,774 | $120K |
| D1351 | Sealant - per tooth | 6.8% | 4,201 | 624 | $119K |
| D0274 | Bitewings - four radiographic images | 4.9% | 2,623 | 2,435 | $85K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.6% | 1,292 | 560 | $80K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.9% | 7,452 | 3,895 | $69K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.5% | 2,438 | 2,302 | $61K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 4,190 | 3,821 | $52K |
11 more codes
| D0140 | Limited oral evaluation - problem focused | 2.5% | 1,089 | $43K |
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 1,960 | $42K |
| D1120 | Dental cleaning, child | 2.3% | 1,156 | $41K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.3% | 243 | $22K |
| D0330 | Panoramic radiographic image | <1% | 359 | $16K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 141 | $13K |
| D2335 | <1% | 72 | $12K | |
| D2140 | <1% | 62 | $4K | |
| D0272 | Bitewings - two radiographic images | <1% | 98 | $2K |
| D4355 | <1% | 13 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 30 | $511.75 |
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 officialKAKOLLU, SRINIVASULU (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Lakewood Family Dental INC | Fort Wayne, IN | $8.69M |
| Lakewood Family Dental of Lafayette INC | Lafayette, IN | $2.76M |
| Lakewood Family Dental of Anderson | Anderson, IN | $1.88M |
| Lakewood Family Dental of Carmel LLC | Carmel, IN | $603K |
| Lakewood Family Dental of Indianapolis LLC | Indianapolis, IN | $159K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.