Dental
Olive Branch Dental-1 LLC
Olive Branch Dental-1 LLC was paid $159K by Medicaid between Sep 2022 and Nov 2024, across 15 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 17% of everything it billed.
33Billing provider infoOLIVE BRANCH DENTAL-1 LLC
INDIANAPOLIS, IN 46254
INDIANAPOLIS, IN 46254
33aNPI1356002778assigned 01/07/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$159K
24GClaims4,426
24DCodes billed15
24AFirst – last monthSep 2022 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#258 of 723
Median peer was paid$60K
This provider vs. median2.7×
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 | |
|---|---|---|---|
| 2022 | 191 | $4K | |
| 2023 | 2,048 | $70K | |
| 2024incomplete | 2,187 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 646 | 595 | $28K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 285 | 153 | $26K |
| D1110 | Prophylaxis - adult | 16% | 460 | 433 | $26K |
| D0274 | Bitewings - four radiographic images | 12% | 517 | 487 | $18K |
| D0330 | Panoramic radiographic image | 8.1% | 228 | 220 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 6.3% | 692 | 622 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.9% | 133 | 78 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.4% | 781 | 567 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.7% | 223 | 209 | $6K |
| D1351 | Sealant - per tooth | 2.5% | 121 | 15 | $4K |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 82 | 81 | $3K |
| D1206 | Topical application of fluoride varnish | 1.8% | 130 | 127 | $3K |
3 more codes
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 officialDURSHANAPALLI, SRINIVAS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Michiana Family Dental LLC | South Bend, IN | $3.01M |
| DR. Durshanapalli & Associates PLLC | High Point, NC | $1.15M |
| Optim Dental -1 LLC | Terre Haute, IN | $717K |
| Vcare Dental LLC | Greenville, SC | $269K |
| Tenth Street Family Dental LLC | Indianapolis, IN | $124K |
| Viva Smiles Giddings PLLC | Giddings, TX | $53K |
| Affinity Family Dental LLC | Shelbyville, IN | $36K |
| Olive Branch Dental LLC | Greenwood, IN | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.