Dental
Indiana Dental Associates
Indiana Dental Associates was paid $115K by Medicaid between Mar 2024 and Nov 2024, across 14 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 17% of everything it billed.
33Billing provider infoINDIANA DENTAL ASSOCIATES
GARY, IN 46404
GARY, IN 46404
33aNPI1548037278assigned 12/04/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$115K
24GClaims2,185
24DCodes billed14
24AFirst – last monthMar 2024 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#292 of 723
Median peer was paid$60K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2024incomplete | 2,185 | $115K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 17% | 193 | 57 | $20K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 17% | 254 | 100 | $19K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 201 | 94 | $19K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 12% | 72 | 43 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 269 | 255 | $13K |
| D0330 | Panoramic radiographic image | 9.2% | 235 | 220 | $11K |
| D1110 | Prophylaxis - adult | 4.6% | 95 | 91 | $5K |
| D0274 | Bitewings - four radiographic images | 3.4% | 153 | 146 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.8% | 336 | 217 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 239 | 225 | $3K |
| D1351 | Sealant - per tooth | 2.2% | 87 | 12 | $3K |
| D2331 | 1.1% | 15 | 12 | $1K |
2 more codes
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 officialGAMINO, LUCIA (GENERAL MANAGER)