Dental
Bloomington Southside Dental Care. LLC
Bloomington Southside Dental Care. LLC was paid $572K by Medicaid between Nov 2022 and Dec 2024, across 20 billing codes. Its largest line is D2335, — 19% of everything it billed.
33Billing provider infoBLOOMINGTON SOUTHSIDE DENTAL CARE. LLC
BLOOMINGTON, IN 47403
BLOOMINGTON, IN 47403
33aNPI1437890290assigned 04/05/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$572K
24GClaims11,292
24DCodes billed20
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#114 of 723
Median peer was paid$60K
This provider vs. median9.6×
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 | |
|---|---|---|---|
| 2022 | 1,376 | $39K | |
| 2023 | 5,883 | $312K | |
| 2024incomplete | 4,033 | $221K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2335 | 19% | 720 | 268 | $109K | |
| D0330 | Panoramic radiographic image | 12% | 1,389 | 1,252 | $71K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 12% | 672 | 410 | $66K |
| D1110 | Prophylaxis - adult | 11% | 1,177 | 1,077 | $61K |
| D2394 | 9.0% | 423 | 244 | $52K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.6% | 590 | 358 | $49K |
| D0140 | Limited oral evaluation - problem focused | 6.3% | 990 | 897 | $36K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.1% | 930 | 829 | $35K |
| D0210 | Intraoral - complete series of radiographic images | 3.4% | 1,079 | 753 | $20K |
| D0274 | Bitewings - four radiographic images | 3.0% | 701 | 605 | $17K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.2% | 88 | 16 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.1% | 474 | 440 | $12K |
8 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 156 | $9K |
| D0160 | 1.4% | 148 | $8K | |
| D4346 | <1% | 31 | $4K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 793 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 218 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 622 | $1K |
| D0350 | 0% | 34 | $0.00 | |
| D3110 | 0% | 57 | $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 officialREITMEYER, JILL (OWNER)