Dental
Childrens Dental Specialist
Childrens Dental Specialist was paid $183K by Medicaid between Jan 2018 and Mar 2020, across 15 billing codes. Its largest line is D2140, — 17% of everything it billed.
33Billing provider infoCHILDRENS DENTAL SPECIALIST
MARION, IN 46952
MARION, IN 46952
33aNPI1598273393assigned 01/15/2018
33bProvider typePediatric Dentist
28Total paid$183K
24GClaims8,553
24DCodes billed15
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Pediatric Dentist providers in Indiana
Rank by total paid#92 of 155
Median peer was paid$414K
This provider vs. median0.4×
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 | 3,472 | $17K | |
| 2019 | 4,153 | $132K | |
| 2020 | 928 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2140 | 17% | 797 | 415 | $32K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 13% | 584 | 335 | $24K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 1,503 | 1,378 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.8% | 1,409 | 1,306 | $18K |
| D1110 | Prophylaxis - adult | 9.1% | 608 | 547 | $17K |
| D1351 | Sealant - per tooth | 9.1% | 876 | 211 | $17K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.6% | 876 | 815 | $16K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.4% | 637 | 497 | $12K |
| D9248 | 5.4% | 423 | 374 | $10K | |
| D0272 | Bitewings - two radiographic images | 4.5% | 525 | 479 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | 3.3% | 176 | 96 | $6K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.8% | 22 | 14 | $3K |
3 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 officialBUTTERWORTH, ALICE (OWNER)