Dental
Plainfield Park Pediatric Dentistry
Plainfield Park Pediatric Dentistry was paid $6K by Medicaid between Sep 2024 and Oct 2024, across 4 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 34% of everything it billed.
33Billing provider infoPLAINFIELD PARK PEDIATRIC DENTISTRY
PLAINFIELD, IN 46168
PLAINFIELD, IN 46168
33aNPI1366291056assigned 05/15/2024
33bProvider typePediatric Dentist
28Total paid$6K
24GClaims203
24DCodes billed4
24AFirst – last monthSep 2024 – Oct 2024
Compared with peers
Next to other Pediatric Dentist providers in Indiana
Rank by total paid#131 of 155
Median peer was paid$414K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 203 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 34% | 51 | 43 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 51 | 43 | $2K |
| D1206 | Topical application of fluoride varnish | 26% | 69 | 60 | $2K |
| D0272 | Bitewings - two radiographic images | 11% | 32 | 25 | $631.98 |
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 officialALLISON, LESA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Park Pediatric Dentistry LLC | Greenwood, IN | $2.60M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.