Dental
Southport Dental, P.C.
Southport Dental, P.C. was paid $1.55M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.
33Billing provider infoSOUTHPORT DENTAL, P.C.
INDIANAPOLIS, IN 46237
INDIANAPOLIS, IN 46237
33aNPI1376767525assigned 04/12/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$1.55M
24GClaims41,797
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#48 of 723
Median peer was paid$60K
This provider vs. median26×
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 | 5,398 | $28K | |
| 2019 | 7,007 | $276K | |
| 2020 | 6,702 | $286K | |
| 2021 | 7,344 | $307K | |
| 2022 | 5,653 | $236K | |
| 2023 | 5,165 | $204K | |
| 2024incomplete | 4,528 | $212K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 20% | 7,025 | 6,658 | $315K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 3,232 | 1,395 | $223K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 9,168 | 8,650 | $192K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 12% | 2,187 | 1,125 | $185K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 2,629 | 2,433 | $164K |
| D0274 | Bitewings - four radiographic images | 6.6% | 3,138 | 2,951 | $102K |
| D1208 | Topical application of fluoride, excluding varnish | 4.2% | 3,773 | 3,527 | $65K |
| D0140 | Limited oral evaluation - problem focused | 4.1% | 2,051 | 1,889 | $63K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.7% | 2,177 | 2,069 | $57K |
| D2332 | 3.1% | 505 | 261 | $48K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 1,095 | 1,021 | $35K |
| D1206 | Topical application of fluoride varnish | 1.6% | 1,089 | 1,033 | $24K |
8 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 2,132 | $22K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.2% | 156 | $19K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 132 | $9K |
| D0272 | Bitewings - two radiographic images | <1% | 390 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 276 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 487 | $5K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 124 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 31 | $2K |
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 officialMILLS, RYAN (DENTIST)