Dental
Pediatric Dental Specialists of Indiana PC
Pediatric Dental Specialists of Indiana PC was paid $3.38M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 16% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL SPECIALISTS OF INDIANA PC
KOKOMO, IN 46902
KOKOMO, IN 46902
33aNPI1669582813assigned 08/30/2006
33bProvider typePediatric Dentist
28Total paid$3.38M
24GClaims110,598
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Indiana
Rank by total paid#17 of 155
Median peer was paid$414K
This provider vs. median8.2×
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 | |
|---|---|---|---|
| 2018 | 15,155 | $47K | |
| 2019 | 13,836 | $451K | |
| 2020 | 13,607 | $438K | |
| 2021 | 14,813 | $483K | |
| 2022 | 16,156 | $568K | |
| 2023 | 17,988 | $657K | |
| 2024incomplete | 19,043 | $735K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 16% | 4,810 | 1,541 | $534K |
| D1351 | Sealant - per tooth | 13% | 19,515 | 4,728 | $445K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 14,290 | 13,214 | $397K |
| D1206 | Topical application of fluoride varnish | 10% | 18,975 | 17,577 | $344K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.2% | 16,675 | 15,462 | $312K |
| D7140 | Extraction, erupted tooth or exposed root | 7.9% | 4,385 | 1,992 | $268K |
| D1110 | Prophylaxis - adult | 5.9% | 5,115 | 4,782 | $199K |
| D0272 | Bitewings - two radiographic images | 3.6% | 6,644 | 6,084 | $121K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.5% | 2,305 | 1,413 | $119K |
| D0210 | Intraoral - complete series of radiographic images | 3.0% | 2,530 | 2,397 | $100K |
| D0330 | Panoramic radiographic image | 2.7% | 2,655 | 2,417 | $93K |
| D1354 | 2.7% | 1,099 | 463 | $92K |
13 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 2,614 | $79K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 3,048 | $73K |
| D9248 | 1.9% | 1,792 | $63K | |
| D0274 | Bitewings - four radiographic images | 1.6% | 2,073 | $55K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.0% | 573 | $35K |
| D0140 | Limited oral evaluation - problem focused | <1% | 736 | $23K |
| D2332 | <1% | 105 | $8K | |
| D1516 | <1% | 22 | $5K | |
| D1517 | <1% | 18 | $5K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 422 | $4K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 51 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 93 | $2K |
| D1515 | 0% | 53 | $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 officialPATE, MATTHEW (CORPORATION PRESIDENT/CO -OWNER)