Dental
Noblesville Dental Clinic, INC.
Noblesville Dental Clinic, INC. was paid $98K by Medicaid between Aug 2018 and Nov 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 39% of everything it billed.
33Billing provider infoNOBLESVILLE DENTAL CLINIC, INC.
NOBLESVILLE, IN 46060
NOBLESVILLE, IN 46060
33aNPI1568546109assigned 10/24/2006
33bProvider typeDenturist
28Total paid$98K
24GClaims2,232
24DCodes billed10
24AFirst – last monthAug 2018 – Nov 2024
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 | 86 | $0.00 | |
| 2019 | 253 | $12K | |
| 2020 | 384 | $26K | |
| 2021 | 520 | $21K | |
| 2022 | 437 | $18K | |
| 2023 | 427 | $16K | |
| 2024incomplete | 125 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 39% | 747 | 695 | $38K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 344 | 306 | $13K |
| D0274 | Bitewings - four radiographic images | 13% | 330 | 305 | $12K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 10% | 58 | 12 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.1% | 368 | 353 | $9K |
| D0140 | Limited oral evaluation - problem focused | 6.9% | 162 | 154 | $7K |
| D0330 | Panoramic radiographic image | 5.5% | 79 | 68 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 25 | 12 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 88 | 81 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 31 | 28 | $623.00 |
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 officialTHOMAS, THOMAS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Regent LLC | Durham, NC | $73K |
| Solana Rehab LLC | Durham, NC | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.