Affordable Dentures - South Bend, P.C.

Affordable Dentures - South Bend, P.C. was paid $719K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is D5110, — 24% of everything it billed.

33Billing provider infoAFFORDABLE DENTURES - SOUTH BEND, P.C.
MISHAWAKA, IN 46545

33aNPI1477793123assigned 02/20/2009

33bProvider typeDentist

28Total paid$719K

24GClaims7,345

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Dentist providers in Indiana

Rank by total paid#68 of 452

Median peer was paid$59K

This provider vs. median12×

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	750	$2K
2019	558	$36K
2020	798	$73K
2021	1,337	$167K
2022	1,150	$132K
2023	2,031	$236K
2024incomplete	721	$73K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D5110		24%	416	357	$173K
D5130		18%	320	267	$132K
D0330	Panoramic radiographic image	18%	2,305	2,064	$126K
D5140		15%	276	240	$108K
D7140	Extraction, erupted tooth or exposed root	12%	1,327	137	$90K
D0150	Comprehensive oral evaluation - new or established patient	5.1%	1,766	1,638	$37K
D5750		3.0%	110	99	$21K
D0140	Limited oral evaluation - problem focused	2.0%	566	524	$15K
D5120		1.7%	33	28	$12K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	226	188	$5K

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 officialBIANCO, RUDY (PRACTICE OWNER)