Dental
Newburgh Modern Dentistry LLC
Newburgh Modern Dentistry LLC was paid $6K by Medicaid between Mar 2023 and Dec 2023, across 4 billing codes. Its largest line is D0330, Panoramic radiographic image — 43% of everything it billed.
33Billing provider infoNEWBURGH MODERN DENTISTRY LLC
NEWBURGH, IN 47630
NEWBURGH, IN 47630
33aNPI1578208021assigned 04/29/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$6K
24GClaims135
24DCodes billed4
24AFirst – last monthMar 2023 – Dec 2023
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#549 of 723
Median peer was paid$60K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2023 | 135 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 43% | 44 | 40 | $2K |
| D0274 | Bitewings - four radiographic images | 22% | 38 | 36 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 20% | 28 | 26 | $1K |
| D0140 | Limited oral evaluation - problem focused | 15% | 25 | 13 | $808.28 |
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 officialHASSAN, BASAL (OWNER)