Dental
Lakewood Family Dental of Carmel LLC
Lakewood Family Dental of Carmel LLC was paid $603K by Medicaid between Jul 2018 and Nov 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.
33Billing provider infoLAKEWOOD FAMILY DENTAL OF CARMEL LLC
CARMEL, IN 46032
CARMEL, IN 46032
33aNPI1588168876assigned 03/21/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$603K
24GClaims17,443
24DCodes billed16
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#107 of 723
Median peer was paid$60K
This provider vs. median10×
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 | 602 | $7K | |
| 2019 | 1,144 | $33K | |
| 2020 | 2,261 | $85K | |
| 2021 | 2,694 | $83K | |
| 2022 | 3,557 | $118K | |
| 2023 | 4,198 | $162K | |
| 2024incomplete | 2,987 | $114K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 20% | 2,463 | 2,253 | $123K |
| D0210 | Intraoral - complete series of radiographic images | 14% | 1,319 | 1,173 | $87K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 1,059 | 531 | $87K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 1,917 | 1,767 | $72K |
| D0274 | Bitewings - four radiographic images | 8.5% | 1,556 | 1,450 | $51K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.4% | 725 | 315 | $44K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.4% | 1,667 | 1,521 | $39K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.7% | 3,082 | 1,912 | $29K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 2,027 | 1,833 | $24K |
| D1208 | Topical application of fluoride, excluding varnish | 2.6% | 820 | 756 | $16K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.4% | 82 | 52 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.2% | 236 | 226 | $7K |
4 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 officialKAKOLLU, SRINIVASULU (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Lakewood Family Dental INC | Fort Wayne, IN | $8.69M |
| Lakewood Family Dental of Lafayette INC | Lafayette, IN | $2.76M |
| Lakewood Family Dental of Anderson | Anderson, IN | $1.88M |
| Lakewood Family Dental of Kokomo PLLC | Kokomo, IN | $1.75M |
| 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.