Clinic
Salem Family Dental, LLC
Salem Family Dental, LLC was paid $872K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.
33Billing provider infoSALEM FAMILY DENTAL, LLC
SALEM, IN 47167
SALEM, IN 47167
33aNPI1437669967assigned 10/11/2017
33bProvider typeDental Clinic/Center
28Total paid$872K
24GClaims27,215
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Indiana
Rank by total paid#29 of 123
Median peer was paid$191K
This provider vs. median4.6×
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 | 3,317 | $17K | |
| 2019 | 3,779 | $131K | |
| 2020 | 3,414 | $120K | |
| 2021 | 3,961 | $140K | |
| 2022 | 4,316 | $148K | |
| 2023 | 4,583 | $153K | |
| 2024incomplete | 3,845 | $163K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 20% | 3,840 | 3,740 | $173K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 6,194 | 5,995 | $132K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 1,745 | 1,092 | $126K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 4,985 | 4,826 | $97K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.5% | 2,746 | 2,634 | $83K |
| D0274 | Bitewings - four radiographic images | 8.5% | 2,075 | 2,009 | $74K |
| D0330 | Panoramic radiographic image | 6.4% | 1,132 | 1,087 | $56K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.4% | 1,866 | 1,743 | $47K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.7% | 898 | 554 | $41K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 563 | 538 | $20K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 344 | 326 | $11K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 484 | 457 | $5K |
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 officialWHEELER, TRICIA (SOLE MEMBER)