Dental
Hometown Family Dentistry LLC
Hometown Family Dentistry LLC was paid $329K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoHOMETOWN FAMILY DENTISTRY LLC
AVON, IN 46123
AVON, IN 46123
33aNPI1376847426assigned 01/04/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$329K
24GClaims14,527
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#169 of 723
Median peer was paid$60K
This provider vs. median5.5×
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 | 2,838 | $15K | |
| 2019 | 2,039 | $54K | |
| 2020 | 2,785 | $68K | |
| 2021 | 1,846 | $46K | |
| 2022 | 1,759 | $54K | |
| 2023 | 1,565 | $38K | |
| 2024incomplete | 1,695 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 2,140 | 1,797 | $80K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 1,282 | 563 | $57K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 2,653 | 2,203 | $47K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.7% | 695 | 323 | $25K |
| D0210 | Intraoral - complete series of radiographic images | 6.6% | 780 | 545 | $22K |
| D1206 | Topical application of fluoride varnish | 6.1% | 1,383 | 1,156 | $20K |
| D0274 | Bitewings - four radiographic images | 5.2% | 600 | 485 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 781 | 658 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 4.8% | 1,657 | 1,319 | $16K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.4% | 703 | 600 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 1,518 | 1,038 | $12K |
| D0330 | Panoramic radiographic image | <1% | 69 | 61 | $2K |
5 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 officialWHITE, STEPHANIE (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| A-1 Consumer's Choice CDS LLC | Florissant, MO | $583K |
| All About You Residential Care, LLC | Chesapeake, VA | $217K |
| Black Men & Women in Training | Portland, OR | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.