Dental
Lakewood Family Dental of Lafayette INC
Lakewood Family Dental of Lafayette INC was paid $2.76M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 14% of everything it billed.
33Billing provider infoLAKEWOOD FAMILY DENTAL OF LAFAYETTE INC
LAFAYETTE, IN 47905
LAFAYETTE, IN 47905
33aNPI1487026431assigned 10/28/2015
33bProvider typeDentist
28Total paid$2.76M
24GClaims71,265
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#22 of 452
Median peer was paid$59K
This provider vs. median47×
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 | 3,065 | $12K | |
| 2019 | 6,681 | $225K | |
| 2020 | 8,397 | $382K | |
| 2021 | 12,568 | $537K | |
| 2022 | 15,512 | $670K | |
| 2023 | 17,917 | $672K | |
| 2024incomplete | 7,125 | $264K |
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 | 14% | 2,155 | 1,043 | $384K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 4,022 | 2,000 | $299K |
| D1110 | Prophylaxis - adult | 8.7% | 5,026 | 4,566 | $240K |
| D1351 | Sealant - per tooth | 7.3% | 8,150 | 1,050 | $201K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.0% | 5,440 | 4,928 | $193K |
| D0210 | Intraoral - complete series of radiographic images | 7.0% | 3,211 | 2,828 | $192K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.9% | 3,391 | 1,591 | $191K |
| D0274 | Bitewings - four radiographic images | 5.1% | 4,631 | 4,195 | $141K |
| D0140 | Limited oral evaluation - problem focused | 4.0% | 2,849 | 2,462 | $111K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.4% | 4,185 | 3,804 | $95K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.4% | 1,038 | 639 | $95K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 10,483 | 5,892 | $87K |
17 more codes
| D7250 | 2.7% | 339 | $76K | |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 6,329 | $74K |
| D1120 | Dental cleaning, child | 2.7% | 2,422 | $73K |
| D1208 | Topical application of fluoride, excluding varnish | 2.6% | 4,260 | $72K |
| D7140 | Extraction, erupted tooth or exposed root | 2.3% | 757 | $62K |
| D2335 | 1.6% | 274 | $45K | |
| D2330 | 1.3% | 441 | $36K | |
| D0330 | Panoramic radiographic image | 1.1% | 742 | $30K |
| D2332 | 1.1% | 257 | $30K | |
| D2331 | <1% | 213 | $20K | |
| D0272 | Bitewings - two radiographic images | <1% | 219 | $5K |
| D0270 | <1% | 247 | $4K | |
| D4346 | <1% | 30 | $4K | |
| D1206 | Topical application of fluoride varnish | <1% | 115 | $2K |
| D4355 | <1% | 12 | $1K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 14 | $355.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 13 | $309.50 |
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 officialKAKOLLU, SRINIVASULU (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Lakewood Family Dental INC | Fort Wayne, IN | $8.69M |
| Lakewood Family Dental of Anderson | Anderson, IN | $1.88M |
| Lakewood Family Dental of Kokomo PLLC | Kokomo, IN | $1.75M |
| Lakewood Family Dental of Carmel LLC | Carmel, IN | $603K |
| Lakewood Family Dental of Indianapolis LLC | Indianapolis, IN | $159K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.