Dental
Star Dental Clinic LLC
Star Dental Clinic LLC was paid $2.15M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is D2990, — 17% of everything it billed.
33Billing provider infoSTAR DENTAL CLINIC LLC
INDIANAPOLIS, IN 46241
INDIANAPOLIS, IN 46241
33aNPI1437422680assigned 02/20/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$2.15M
24GClaims51,964
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#35 of 723
Median peer was paid$60K
This provider vs. median36×
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 | 4,379 | $37K | |
| 2019 | 5,321 | $259K | |
| 2020 | 4,157 | $203K | |
| 2021 | 10,674 | $490K | |
| 2022 | 9,647 | $419K | |
| 2023 | 9,860 | $415K | |
| 2024incomplete | 7,926 | $327K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2990 | 17% | 2,293 | 883 | $365K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 3,357 | 1,738 | $229K |
| D1110 | Prophylaxis - adult | 7.8% | 3,621 | 3,421 | $169K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 7.6% | 1,042 | 481 | $164K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.3% | 6,163 | 5,805 | $136K |
| D0274 | Bitewings - four radiographic images | 5.1% | 3,522 | 3,279 | $110K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.9% | 3,364 | 3,170 | $106K |
| D1206 | Topical application of fluoride varnish | 4.6% | 5,024 | 4,732 | $100K |
| D1354 | 4.3% | 1,093 | 314 | $92K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.9% | 2,503 | 2,313 | $84K |
| D0210 | Intraoral - complete series of radiographic images | 3.9% | 4,096 | 2,060 | $83K |
| D0140 | Limited oral evaluation - problem focused | 3.9% | 2,426 | 2,167 | $83K |
17 more codes
| D0330 | Panoramic radiographic image | 3.9% | 1,915 | $83K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.3% | 1,315 | $71K |
| D4346 | 2.1% | 266 | $46K | |
| D1351 | Sealant - per tooth | 2.1% | 1,737 | $44K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.0% | 488 | $42K |
| D4212 | 1.7% | 134 | $37K | |
| D0272 | Bitewings - two radiographic images | 1.4% | 1,431 | $31K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 2,574 | $26K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 3,085 | $24K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 142 | $9K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 246 | $7K |
| D7250 | <1% | 24 | $5K | |
| D2332 | <1% | 17 | $2K | |
| D2330 | <1% | 19 | $1K | |
| D9920 | <1% | 14 | $561.00 | |
| D0270 | <1% | 30 | $437.99 | |
| D1999 | 0% | 23 | $0.00 |
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 officialGHEBREMICHAEL, ESTHER (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Star Clinic | Indianapolis, IN | $28K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.