Elkhart Pediatric Dentistry LTD

Elkhart Pediatric Dentistry LTD was paid $87K by Medicaid between Oct 2023 and Dec 2024, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.

33Billing provider infoELKHART PEDIATRIC DENTISTRY LTD
ELKHART, IN 46514

33aNPI1669250361assigned 09/15/2023

33bProvider typePediatric Dentist

28Total paid$87K

24GClaims2,981

24DCodes billed9

24AFirst – last monthOct 2023 – Dec 2024

Compared with peers

Next to other Pediatric Dentist providers in Indiana

Rank by total paid#99 of 155

Median peer was paid$414K

This provider vs. median0.2×

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
2023	622	$15K
2024incomplete	2,359	$72K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	23%	527	499	$20K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	804	757	$20K
D1208	Topical application of fluoride, excluding varnish	20%	813	766	$17K
D1110	Prophylaxis - adult	19%	329	308	$16K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	6.5%	191	181	$6K
D0272	Bitewings - two radiographic images	5.8%	215	205	$5K
D0150	Comprehensive oral evaluation - new or established patient	1.5%	26	26	$1K
D1206	Topical application of fluoride varnish	<1%	29	29	$740.45
D0240		<1%	47	18	$686.34

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 officialMURPHY, KRISTIN (OWNER)