Dental
Primehealth of Indiana LLC
Primehealth of Indiana LLC was paid $2.16M by Medicaid between Jan 2018 and May 2021, across 59 billing codes. Its largest line is D0120, dental checkup, returning patient — 14% of everything it billed.
33Billing provider infoPRIMEHEALTH OF INDIANA LLC
INDIANAPOLIS, IN 46240
INDIANAPOLIS, IN 46240
33aNPI1609329093assigned 08/02/2016
33bProvider typeDentist
28Total paid$2.16M
24GClaims169,405
24DCodes billed59
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#27 of 452
Median peer was paid$59K
This provider vs. median37×
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 | 88,070 | $1.18M | |
| 2019 | 63,867 | $803K | |
| 2020 | 13,686 | $159K | |
| 2021 | 3,782 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 14,898 | 12,832 | $301K |
| D5110 | 13% | 763 | 716 | $292K | |
| D5120 | 13% | 701 | 665 | $275K | |
| D1110 | Prophylaxis - adult | 10% | 6,386 | 5,451 | $226K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.2% | 6,165 | 5,287 | $156K |
| 11721 | 7.1% | 42,859 | 24,258 | $154K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.6% | 3,150 | 2,476 | $120K |
| 92015 | Determination of refractive state | 4.1% | 8,959 | 6,445 | $88K |
| V2020 | Frames, purchases | 2.9% | 4,474 | 3,545 | $63K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.8% | 3,595 | 2,498 | $61K |
| 11720 | 2.4% | 16,101 | 10,054 | $52K | |
| D4341 | 2.3% | 239 | 140 | $49K |
47 more codes
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.2% | 4,015 | $48K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.5% | 2,342 | $33K |
| G0127 | Trimming of dystrophic nails, any number | 1.3% | 12,585 | $27K |
| 92557 | 1.1% | 7,695 | $24K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 653 | $21K |
| V5241 | Dispensing fee, monaural hearing aid, any type | <1% | 185 | $20K |
| 92002 | <1% | 1,215 | $16K | |
| D0170 | <1% | 829 | $14K | |
| V5060 | Hearing aid, monaural, behind the ear | <1% | 43 | $14K |
| 69210 | <1% | 1,939 | $14K | |
| 99307 | <1% | 4,177 | $12K | |
| 11719 | <1% | 6,491 | $9K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 198 | $8K |
| 92567 | <1% | 7,080 | $7K | |
| V2204 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 250 | $7K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 784 | $6K |
| 92250 | <1% | 605 | $6K | |
| D4355 | <1% | 73 | $5K | |
| 11055 | <1% | 1,397 | $5K | |
| 11730 | <1% | 650 | $4K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 149 | $4K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,587 | $4K |
| 99304 | <1% | 661 | $3K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 421 | $3K |
| 92556 | <1% | 1,289 | $3K | |
| V5050 | Hearing aid, monaural, in the ear | <1% | 14 | $3K |
| 92552 | <1% | 702 | $2K | |
| V5264 | Ear mold/insert, not disposable, any type | <1% | 35 | $945.00 |
| 11056 | <1% | 302 | $885.27 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 115 | $861.25 |
| 97597 | <1% | 258 | $833.33 | |
| V5266 | Battery for use in hearing device | <1% | 71 | $710.00 |
| 11740 | <1% | 74 | $350.66 | |
| 99334 | <1% | 37 | $350.63 | |
| 99324 | <1% | 107 | $306.71 | |
| 92550 | <1% | 163 | $167.69 | |
| 92553 | <1% | 198 | $127.15 | |
| 92555 | <1% | 110 | $83.85 | |
| G8405 | Lower extremity neurological exam not performed | 0% | 128 | $0.00 |
| G0245 | Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education | 0% | 66 | $0.00 |
| 99305 | 0% | 42 | $0.00 | |
| G8404 | Lower extremity neurological exam performed and documented | 0% | 894 | $0.00 |
| G0247 | Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails | 0% | 194 | $0.00 |
| D5411 | 0% | 78 | $0.00 | |
| G8415 | Footwear evaluation was not performed | 0% | 107 | $0.00 |
| G0246 | Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education | 0% | 79 | $0.00 |
| 92341 | 0% | 28 | $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 officialKING, KENNETH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Primehealth of Michigan LLC | Dearborn, MI | $266K |
| King & Wiggins, D.M.D., P.A. | North Charleston, SC | $148K |
| Primehealth of Kentucky LLC | Louisville, KY | $63K |
| Seniorwell Pod of Ohio LLC | Columbus, OH | $36K |
| Primehealth of Ohio LLC | Columbus, OH | $36K |
| Seniorwell Pod of Wisconsin LLC | Milwaukee, WI | $10K |
| Seniorwell of Missouri LLC | Saint Louis, MO | $4K |
| Seniorwell of Wisconsin LLC | Milwaukee, WI | $199.50 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.