Clinic
Maple City Health Care Center, INC
Maple City Health Care Center, INC was paid $183K by Medicaid between Apr 2021 and Dec 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoMAPLE CITY HEALTH CARE CENTER, INC
GOSHEN, IN 46528
GOSHEN, IN 46528
33aNPI1588209142assigned 11/07/2019
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$183K
24GClaims9,164
24DCodes billed16
24AFirst – last monthApr 2021 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
Rank by total paid#107 of 156
Median peer was paid$568K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2021 | 1,733 | $34K | |
| 2022 | 2,023 | $29K | |
| 2023 | 2,065 | $39K | |
| 2024incomplete | 3,343 | $80K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 997 | 792 | $46K |
| D1206 | Topical application of fluoride varnish | 17% | 1,749 | 1,472 | $31K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 612 | 571 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 537 | 389 | $20K |
| D9999 | Unspecified adjunctive procedure, by report | 8.4% | 3,101 | 2,429 | $15K |
| D0274 | Bitewings - four radiographic images | 8.4% | 542 | 465 | $15K |
| D0330 | Panoramic radiographic image | 7.3% | 395 | 355 | $13K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.6% | 348 | 281 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 3.4% | 99 | 65 | $6K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 56 | 51 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 15 | 13 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 48 | 46 | $1K |
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 officialRUSH, KAREN (DIRECTOR OF FINANCE)
Parent organizationMAPLE CITY HEALTH CARE CENTER, INC
| Provider | Location | Paid |
|---|---|---|
| Maple City Health Care Center, INC. | Goshen, IN | $2.50M |
| Maple City Health Care Center, INC. | Goshen, IN | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.