Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Aldrich Pediatric Dentistry

Aldrich Pediatric Dentistry was paid $679K by Medicaid between Nov 2018 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.

33Billing provider infoALDRICH PEDIATRIC DENTISTRY
INDIANAPOLIS, IN 46234
33aNPI1447730692assigned 08/17/2018
33bProvider typePediatric Dentist
28Total paid$679K
24GClaims30,794
24DCodes billed19
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Indiana

Rank by total paid#64 of 155
Median peer was paid$414K
This provider vs. median1.6×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2018161$3K
20192,878$41K
20205,282$104K
20215,912$148K
20226,158$144K
20235,916$129K
2024incomplete4,487$111K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 25% 5,338 4,935 $171K
D1206 Topical application of fluoride varnish 19% 6,276 5,790 $129K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 18% 5,779 5,368 $124K
D0272 Bitewings - two radiographic images 8.7% 2,604 2,413 $59K
D1110 Prophylaxis - adult 7.0% 1,056 981 $48K
D2930 Prefabricated stainless steel crown - primary tooth 5.3% 255 101 $36K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 5.0% 1,197 1,004 $34K
D1351 Sealant - per tooth 2.3% 604 172 $16K
D0330 Panoramic radiographic image 2.3% 263 259 $16K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.3% 173 99 $9K
D0150 Comprehensive oral evaluation - new or established patient 1.3% 283 255 $9K
D7140 Extraction, erupted tooth or exposed root 1.3% 127 69 $9K
7 more codes
D0140 Limited oral evaluation - problem focused 1.1% 235 $7K
D0274 Bitewings - four radiographic images <1% 143 $5K
D0240 <1% 324 $5K
D0145 Oral evaluation for a patient under three years of age <1% 146 $3K
D0220 Intraoral - periapical first radiographic image <1% 203 $2K
D1999 <1% 1,067 $40.00
D0603 0% 4,721 $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 officialJONES, SHANNON (FRONT OFFICE)
Same official

Other billing entities under JONES, SHANNON

Full network →
ProviderLocationPaid
Melvin R Morrison DDS LTDNorfolk, VA$4.20M
Oregon Change Clinic, LLCPortland, OR$617K
Hopkins Health and Wellness Center PAHopkins, MN$193K
Lelwica ChiropracticPequot Lakes, MN$143K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.