Dental
Michiana Family Dental LLC
Michiana Family Dental LLC was paid $3.01M by Medicaid between Feb 2019 and Dec 2024, across 25 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 21% of everything it billed.
33Billing provider infoMICHIANA FAMILY DENTAL LLC
SOUTH BEND, IN 46628
SOUTH BEND, IN 46628
33aNPI1467946467assigned 06/22/2018
33bProvider typeDentist
28Total paid$3.01M
24GClaims64,703
24DCodes billed25
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#18 of 452
Median peer was paid$59K
This provider vs. median51×
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 | |
|---|---|---|---|
| 2019 | 2,100 | $52K | |
| 2020 | 7,140 | $239K | |
| 2021 | 13,542 | $643K | |
| 2022 | 18,184 | $897K | |
| 2023 | 14,894 | $749K | |
| 2024incomplete | 8,843 | $425K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 21% | 3,501 | 2,024 | $638K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.4% | 6,330 | 5,877 | $251K |
| D1110 | Prophylaxis - adult | 6.9% | 4,016 | 3,752 | $208K |
| D0274 | Bitewings - four radiographic images | 6.5% | 5,385 | 4,963 | $196K |
| D7140 | Extraction, erupted tooth or exposed root | 6.5% | 2,258 | 903 | $196K |
| D4346 | 6.5% | 1,010 | 918 | $195K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.0% | 2,158 | 1,361 | $180K |
| D0140 | Limited oral evaluation - problem focused | 4.7% | 3,393 | 3,154 | $142K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.7% | 2,201 | 1,230 | $140K |
| D1351 | Sealant - per tooth | 4.3% | 4,800 | 697 | $129K |
| D0330 | Panoramic radiographic image | 4.1% | 2,353 | 2,168 | $123K |
| D0210 | Intraoral - complete series of radiographic images | 3.3% | 2,281 | 1,653 | $98K |
13 more codes
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 7,332 | $93K |
| D0120 | Dental checkup, returning patient | 2.5% | 3,084 | $77K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 7,964 | $75K |
| D1206 | Topical application of fluoride varnish | 2.0% | 2,883 | $59K |
| D1120 | Dental cleaning, child | 1.8% | 1,906 | $55K |
| D1354 | 1.7% | 649 | $52K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 292 | $28K |
| D7250 | <1% | 105 | $22K | |
| D4341 | <1% | 147 | $19K | |
| D2335 | <1% | 110 | $17K | |
| D0272 | Bitewings - two radiographic images | <1% | 485 | $11K |
| D2332 | <1% | 14 | $2K | |
| D1999 | <1% | 46 | $30.00 |
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 officialDURSHANAPALLI, SRINIVAS (OWNER)
| Provider | Location | Paid |
|---|---|---|
| DR. Durshanapalli & Associates PLLC | High Point, NC | $1.15M |
| Optim Dental -1 LLC | Terre Haute, IN | $717K |
| Vcare Dental LLC | Greenville, SC | $269K |
| Olive Branch Dental-1 LLC | Indianapolis, IN | $159K |
| Tenth Street Family Dental LLC | Indianapolis, IN | $124K |
| Viva Smiles Giddings PLLC | Giddings, TX | $53K |
| Affinity Family Dental LLC | Shelbyville, IN | $36K |
| Olive Branch Dental LLC | Greenwood, IN | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.