Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

North Vernon Family Dental LLC

North Vernon Family Dental LLC was paid $2.06M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 26% of everything it billed.

33Billing provider infoNORTH VERNON FAMILY DENTAL LLC
NORTH VERNON, IN 47265
33aNPI1669820643assigned 05/31/2016
33bProvider typeDentist
28Total paid$2.06M
24GClaims51,994
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dentist providers in Indiana

Rank by total paid#30 of 452
Median peer was paid$59K
This provider vs. median35×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20184,919$54K
20197,772$360K
20206,246$278K
20218,395$351K
20227,851$348K
20238,512$364K
2024incomplete8,299$307K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 26% 3,624 1,058 $535K
D1354 8.6% 2,421 895 $177K
D1110 Prophylaxis - adult 8.5% 3,795 3,552 $175K
D0330 Panoramic radiographic image 6.8% 2,450 2,291 $140K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 5.2% 4,911 4,663 $106K
D0140 Limited oral evaluation - problem focused 4.7% 2,990 2,739 $98K
D0274 Bitewings - four radiographic images 4.7% 3,114 2,928 $97K
D2150 Silver amalgam - two surfaces, primary or permanent 4.7% 1,342 781 $97K
D1208 Topical application of fluoride, excluding varnish 4.1% 4,489 4,190 $85K
D0150 Comprehensive oral evaluation - new or established patient 3.8% 2,349 2,183 $78K
D1120 Dental cleaning, childProphylaxis - child 3.7% 2,582 2,409 $76K
D1351 Sealant - per tooth 3.7% 2,896 378 $76K
19 more codes
D0230 Intraoral - periapical each additional radiographic image 2.6% 5,736 $53K
D0220 Intraoral - periapical first radiographic image 2.5% 4,524 $52K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.7% 402 $34K
D2160 1.6% 340 $32K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.4% 1,135 $29K
D4346 1.1% 153 $22K
D5110 <1% 53 $17K
D0272 Bitewings - two radiographic images <1% 781 $16K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 147 $14K
D0210 Intraoral - complete series of radiographic images <1% 645 $13K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 156 $9K
D1206 Topical application of fluoride varnish <1% 368 $9K
D2332 <1% 50 $6K
D2335 <1% 46 $4K
D0240 <1% 397 $4K
D2331 <1% 30 $3K
D2140 <1% 32 $2K
D4212 <1% 20 $798.12
D0160 <1% 16 $782.00

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 officialSITARAM, DIPESH (OWNER)
Same official

Other billing entities under SITARAM, DIPESH

Full network →
ProviderLocationPaid
Sitaram Dental LLCColumbus, IN$2.59M
Sitaram Investments, LLCIndianapolis, IN$749K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.