Dental
West 10TH Dental Group, Professional Corporation
West 10TH Dental Group, Professional Corporation was paid $3.32M by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is D1354, — 17% of everything it billed.
33Billing provider infoWEST 10TH DENTAL GROUP, PROFESSIONAL CORPORATION
INDIANAPOLIS, IN 46214
INDIANAPOLIS, IN 46214
33aNPI1578757191assigned 08/28/2007
33bProvider typePediatric Dentist
28Total paid$3.32M
24GClaims111,615
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Indiana
Rank by total paid#19 of 155
Median peer was paid$414K
This provider vs. median8.0×
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 | 18,626 | $82K | |
| 2019 | 22,781 | $738K | |
| 2020 | 27,846 | $956K | |
| 2021 | 32,237 | $1.22M | |
| 2022 | 5,022 | $149K | |
| 2023 | 3,682 | $111K | |
| 2024incomplete | 1,421 | $67K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1354 | 17% | 6,398 | 1,337 | $553K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 2,963 | 953 | $356K |
| D1351 | Sealant - per tooth | 9.1% | 14,661 | 3,236 | $302K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.4% | 10,318 | 8,761 | $245K |
| D1206 | Topical application of fluoride varnish | 6.9% | 14,611 | 12,359 | $229K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.8% | 13,091 | 11,135 | $225K |
| D1110 | Prophylaxis - adult | 6.5% | 5,892 | 4,960 | $216K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.6% | 3,155 | 1,638 | $152K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 3,374 | 1,766 | $127K |
| D7140 | Extraction, erupted tooth or exposed root | 3.3% | 1,977 | 897 | $110K |
| D0140 | Limited oral evaluation - problem focused | 3.2% | 3,948 | 3,267 | $106K |
| D0272 | Bitewings - two radiographic images | 3.0% | 5,561 | 4,721 | $101K |
19 more codes
| D0330 | Panoramic radiographic image | 2.9% | 2,688 | $97K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 3,239 | $83K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.4% | 677 | $78K |
| D0274 | Bitewings - four radiographic images | 2.2% | 2,679 | $72K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.9% | 3,148 | $64K |
| D0240 | 1.8% | 4,318 | $59K | |
| D0210 | Intraoral - complete series of radiographic images | 1.5% | 2,052 | $50K |
| D9243 | <1% | 700 | $32K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,624 | $17K |
| D9239 | <1% | 213 | $12K | |
| D1510 | <1% | 82 | $11K | |
| D2330 | <1% | 149 | $8K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 84 | $7K |
| D7111 | <1% | 47 | $3K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 405 | $2K |
| D1999 | <1% | 2,431 | $1K | |
| D9248 | <1% | 63 | $577.50 | |
| D2390 | <1% | 37 | $140.00 | |
| D1353 | 0% | 30 | $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 officialBARTA, BRENT (PRESIDENT/OWNER)
| Provider | Location | Paid |
|---|---|---|
| WTDG Specialist Group LLC | Indianapolis, IN | $5.98M |
| Georgetown Dental Center | Indianapolis, IN | $2.03M |
| My Indy Dental Center LLC | Indianapolis, IN | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.