Dental
Poplar Pediatric Dentistry LLC
Poplar Pediatric Dentistry LLC was paid $495K by Medicaid between Feb 2021 and Oct 2024, across 25 billing codes. Its largest line is D1354, — 30% of everything it billed.
33Billing provider infoPOPLAR PEDIATRIC DENTISTRY LLC
ZIONSVILLE, IN 46077
ZIONSVILLE, IN 46077
33aNPI1477186732assigned 02/14/2020
33bProvider typePediatric Dentist
28Total paid$495K
24GClaims13,052
24DCodes billed25
24AFirst – last monthFeb 2021 – Oct 2024
Compared with peers
Next to other Pediatric Dentist providers in Indiana
Rank by total paid#72 of 155
Median peer was paid$414K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2021 | 353 | $8K | |
| 2022 | 6,269 | $240K | |
| 2023 | 6,020 | $236K | |
| 2024incomplete | 410 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1354 | 30% | 1,755 | 501 | $150K | |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 2,185 | 2,009 | $64K |
| D1206 | Topical application of fluoride varnish | 10% | 2,585 | 2,375 | $50K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.2% | 306 | 65 | $41K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.6% | 693 | 297 | $33K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.6% | 1,604 | 1,479 | $33K |
| D7140 | Extraction, erupted tooth or exposed root | 3.9% | 288 | 115 | $19K |
| D0330 | Panoramic radiographic image | 2.9% | 279 | 267 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 451 | 418 | $14K |
| D0272 | Bitewings - two radiographic images | 2.8% | 658 | 590 | $14K |
| D1110 | Prophylaxis - adult | 2.2% | 253 | 236 | $11K |
| D1351 | Sealant - per tooth | 2.1% | 419 | 88 | $11K |
13 more codes
| D0140 | Limited oral evaluation - problem focused | 1.9% | 326 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 146 | $9K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.7% | 313 | $8K |
| D0240 | <1% | 378 | $5K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 82 | $3K |
| D1355 | <1% | 32 | $3K | |
| D2330 | <1% | 23 | $2K | |
| D9920 | <1% | 38 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 20 | $830.50 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 129 | $648.94 |
| D0274 | Bitewings - four radiographic images | <1% | 13 | $418.54 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 47 | $129.80 |
| D3120 | 0% | 29 | $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 officialBRAUER, KATELYN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Poplar Pediatric Dentistry LLC | Lebanon, IN | $318K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.