Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Noblesville Smile Center, LLC

Noblesville Smile Center, LLC was paid $378K by Medicaid between Jan 2022 and Dec 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.

33Billing provider infoNOBLESVILLE SMILE CENTER, LLC
NOBLESVILLE, IN 46060
33aNPI1346812187assigned 07/12/2021
33bProvider typeDentist
28Total paid$378K
24GClaims11,055
24DCodes billed19
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers

Next to other Dentist providers in Indiana

Rank by total paid#98 of 452
Median peer was paid$59K
This provider vs. median6.4×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20222,070$68K
20234,669$155K
2024incomplete4,316$155K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 21% 998 404 $81K
D1110 Prophylaxis - adult 13% 909 855 $48K
D0150 Comprehensive oral evaluation - new or established patient 11% 1,013 940 $40K
D0274 Bitewings - four radiographic images 10% 1,095 1,025 $38K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 6.5% 222 123 $24K
D0230 Intraoral - periapical each additional radiographic image 5.8% 2,167 1,218 $22K
D0220 Intraoral - periapical first radiographic image 5.1% 1,481 1,360 $19K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 4.8% 738 687 $18K
D0330 Panoramic radiographic image 4.6% 294 277 $18K
D1351 Sealant - per tooth 4.2% 523 70 $16K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4.1% 238 118 $15K
D1206 Topical application of fluoride varnish 3.3% 570 541 $13K
7 more codes
D4346 2.9% 56 $11K
D0140 Limited oral evaluation - problem focused 2.0% 190 $7K
D1320 1.0% 105 $4K
D1120 Dental cleaning, child 1.0% 91 $4K
D0210 Intraoral - complete series of radiographic images <1% 24 $100.37
D1330 0% 174 $0.00
D1310 0% 167 $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 officialDHANJAL, JASMIN (DENTIST / OWNER)