Dental
Lafayette Pediatric Dentistry & Orthodontics
Lafayette Pediatric Dentistry & Orthodontics was paid $4.11M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 16% of everything it billed.
33Billing provider infoLAFAYETTE PEDIATRIC DENTISTRY & ORTHODONTICS
LAFAYETTE, IN 47904
LAFAYETTE, IN 47904
33aNPI1477869378assigned 08/30/2010
33bProvider typeDentist
28Total paid$4.11M
24GClaims119,178
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#11 of 452
Median peer was paid$59K
This provider vs. median69×
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 | 14,829 | $65K | |
| 2019 | 16,912 | $629K | |
| 2020 | 15,185 | $557K | |
| 2021 | 18,153 | $669K | |
| 2022 | 17,085 | $628K | |
| 2023 | 19,255 | $739K | |
| 2024incomplete | 17,759 | $819K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 16% | 4,979 | 2,224 | $649K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 23,177 | 22,435 | $467K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 15,498 | 14,985 | $423K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10.0% | 6,654 | 4,471 | $410K |
| D1110 | Prophylaxis - adult | 9.9% | 9,444 | 9,158 | $405K |
| D1206 | Topical application of fluoride varnish | 7.2% | 12,985 | 12,641 | $295K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.5% | 9,647 | 8,139 | $266K |
| D0272 | Bitewings - two radiographic images | 6.1% | 11,576 | 11,209 | $249K |
| D7140 | Extraction, erupted tooth or exposed root | 5.2% | 2,989 | 1,767 | $212K |
| D0330 | Panoramic radiographic image | 4.7% | 3,601 | 3,461 | $195K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.1% | 3,487 | 2,764 | $166K |
| D1208 | Topical application of fluoride, excluding varnish | 3.9% | 10,088 | 9,676 | $161K |
11 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 2,696 | $89K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.3% | 554 | $55K |
| D0140 | Limited oral evaluation - problem focused | <1% | 561 | $16K |
| D2330 | <1% | 227 | $16K | |
| D2332 | <1% | 153 | $14K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 632 | $7K |
| D2331 | <1% | 66 | $6K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 57 | $4K |
| D1351 | Sealant - per tooth | <1% | 67 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 26 | $844.08 |
| D3120 | 0% | 14 | $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 officialSAMMONS, EDWARD (DENTIST)