Clinic
DR J Pediatric Dentistry LLC
DR J Pediatric Dentistry LLC was paid $4.47M by Medicaid between Mar 2018 and Dec 2024, across 25 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 24% of everything it billed.
33Billing provider infoDR J PEDIATRIC DENTISTRY LLC
INDIANAPOLIS, IN 46236
INDIANAPOLIS, IN 46236
33aNPI1629522289assigned 08/11/2016
33bProvider typeDental Clinic/Center
28Total paid$4.47M
24GClaims117,297
24DCodes billed25
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Indiana
Rank by total paid#6 of 123
Median peer was paid$191K
This provider vs. median23×
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 | 3,161 | $38K | |
| 2019 | 8,209 | $346K | |
| 2020 | 8,314 | $331K | |
| 2021 | 16,319 | $639K | |
| 2022 | 28,340 | $1.07M | |
| 2023 | 28,212 | $1.03M | |
| 2024incomplete | 24,742 | $1.02M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 24% | 8,170 | 2,522 | $1.09M |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 17,406 | 16,500 | $584K |
| D1206 | Topical application of fluoride varnish | 9.8% | 20,850 | 19,688 | $440K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.2% | 16,360 | 15,484 | $366K |
| D7140 | Extraction, erupted tooth or exposed root | 7.6% | 4,834 | 2,138 | $342K |
| D1354 | 5.3% | 3,315 | 924 | $237K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.9% | 6,266 | 5,556 | $176K |
| D1110 | Prophylaxis - adult | 3.7% | 3,630 | 3,426 | $167K |
| D1351 | Sealant - per tooth | 3.7% | 6,273 | 1,656 | $164K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.2% | 2,181 | 1,397 | $143K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.1% | 2,740 | 1,654 | $140K |
| D0272 | Bitewings - two radiographic images | 2.8% | 5,483 | 5,135 | $125K |
13 more codes
| D0140 | Limited oral evaluation - problem focused | 2.8% | 3,811 | $124K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 3,282 | $108K |
| D0330 | Panoramic radiographic image | 1.7% | 1,455 | $77K |
| D0274 | Bitewings - four radiographic images | <1% | 1,182 | $39K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 986 | $32K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,072 | $30K |
| D0240 | <1% | 1,795 | $28K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 3,200 | $27K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 464 | $12K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 72 | $7K |
| D1510 | <1% | 70 | $6K | |
| D2330 | <1% | 66 | $4K | |
| D1999 | <1% | 334 | $540.00 |
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 officialYEPES, JUAN (PEDIATRIC DENTIST)