Dental
Immediadent of Indiana, P.C.
Immediadent of Indiana, P.C. was paid $495K by Medicaid between Aug 2018 and Aug 2019, across 22 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 22% of everything it billed.
33Billing provider infoIMMEDIADENT OF INDIANA, P.C.
INDIANAPOLIS, IN 46250
INDIANAPOLIS, IN 46250
33aNPI1427583103assigned 05/01/2017
33bProvider typeDentist
28Total paid$495K
24GClaims6,952
24DCodes billed22
24AFirst – last monthAug 2018 – Aug 2019
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#87 of 452
Median peer was paid$59K
This provider vs. median8.4×
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 | 3,410 | $267K | |
| 2019 | 3,542 | $228K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 22% | 1,137 | 371 | $111K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 16% | 409 | 206 | $80K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 676 | 271 | $57K |
| D0210 | Intraoral - complete series of radiographic images | 9.9% | 587 | 523 | $49K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.4% | 298 | 159 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.0% | 709 | 609 | $30K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 284 | 134 | $18K |
| D1110 | Prophylaxis - adult | 3.5% | 332 | 256 | $17K |
| D7240 | Removal of impacted tooth - completely bony | 3.1% | 43 | 13 | $15K |
| D0330 | Panoramic radiographic image | 2.8% | 207 | 156 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.3% | 449 | 351 | $11K |
| D0140 | Limited oral evaluation - problem focused | 2.2% | 242 | 195 | $11K |
10 more codes
| D0274 | Bitewings - four radiographic images | 1.9% | 263 | $9K |
| D2332 | 1.4% | 52 | $7K | |
| D2335 | 1.4% | 35 | $7K | |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 398 | $6K |
| D7250 | 1.1% | 22 | $5K | |
| D1351 | Sealant - per tooth | 1.0% | 176 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 189 | $4K |
| D2394 | <1% | 28 | $4K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 394 | $2K |
| D1120 | Dental cleaning, child | <1% | 22 | $655.50 |
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 officialADKINS, JACQUELYNN (SR. ACCOUNTING MANAGER)