Dental
Lakewood Family Dental INC
Lakewood Family Dental INC was paid $8.69M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 16% of everything it billed.
33Billing provider infoLAKEWOOD FAMILY DENTAL INC
FORT WAYNE, IN 46825
FORT WAYNE, IN 46825
33aNPI1386062768assigned 04/02/2014
33bProvider typeDentist
28Total paid$8.69M
24GClaims242,064
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#3 of 452
Median peer was paid$59K
This provider vs. median147×
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 | 24,142 | $256K | |
| 2019 | 28,266 | $1.12M | |
| 2020 | 28,825 | $1.17M | |
| 2021 | 36,530 | $1.58M | |
| 2022 | 50,295 | $1.98M | |
| 2023 | 49,133 | $1.59M | |
| 2024incomplete | 24,873 | $1.01M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 16% | 9,069 | 4,255 | $1.42M |
| D1110 | Prophylaxis - adult | 8.0% | 15,015 | 14,023 | $699K |
| D1351 | Sealant - per tooth | 6.8% | 25,129 | 3,958 | $588K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.7% | 8,774 | 5,134 | $583K |
| D7140 | Extraction, erupted tooth or exposed root | 6.6% | 7,631 | 2,936 | $572K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 13,708 | 12,712 | $477K |
| D0140 | Limited oral evaluation - problem focused | 4.8% | 11,066 | 10,011 | $414K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.4% | 46,892 | 19,754 | $380K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.6% | 5,710 | 3,483 | $313K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.6% | 14,442 | 13,562 | $310K |
| D0274 | Bitewings - four radiographic images | 3.3% | 10,789 | 9,857 | $284K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.2% | 3,349 | 2,373 | $276K |
31 more codes
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 22,897 | $262K |
| D1120 | Dental cleaning, child | 2.8% | 8,215 | $243K |
| D2335 | 2.8% | 1,688 | $242K | |
| D0210 | Intraoral - complete series of radiographic images | 2.8% | 7,569 | $239K |
| D1208 | Topical application of fluoride, excluding varnish | 2.5% | 11,713 | $218K |
| D4341 | 2.2% | 1,758 | $189K | |
| D2332 | 2.0% | 1,603 | $171K | |
| D0330 | Panoramic radiographic image | 1.7% | 2,807 | $145K |
| D7250 | 1.1% | 456 | $99K | |
| D7230 | <1% | 278 | $73K | |
| D0272 | Bitewings - two radiographic images | <1% | 3,141 | $67K |
| D2330 | <1% | 889 | $64K | |
| D0270 | <1% | 3,342 | $59K | |
| D5110 | <1% | 134 | $46K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 475 | $41K |
| D2331 | <1% | 384 | $37K | |
| D2394 | <1% | 375 | $35K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,206 | $27K |
| D7311 | <1% | 126 | $19K | |
| D4346 | <1% | 94 | $16K | |
| D2160 | <1% | 130 | $14K | |
| D7310 | <1% | 88 | $13K | |
| D4910 | <1% | 105 | $13K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 67 | $10K |
| D4342 | <1% | 79 | $10K | |
| D5120 | <1% | 30 | $8K | |
| D2140 | <1% | 99 | $6K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 426 | $4K |
| D2931 | <1% | 201 | $4K | |
| D0273 | <1% | 96 | $2K | |
| D4355 | <1% | 19 | $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 officialKAKOLLU, SRINIVASULU (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Lakewood Family Dental of Lafayette INC | Lafayette, IN | $2.76M |
| Lakewood Family Dental of Anderson | Anderson, IN | $1.88M |
| Lakewood Family Dental of Kokomo PLLC | Kokomo, IN | $1.75M |
| Lakewood Family Dental of Carmel LLC | Carmel, IN | $603K |
| Lakewood Family Dental of Indianapolis LLC | Indianapolis, IN | $159K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.