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

Pediatric Dental Associates of Indiana, INC

Pediatric Dental Associates of Indiana, INC was paid $6.41M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D4212, — 24% of everything it billed.

33Billing provider infoPEDIATRIC DENTAL ASSOCIATES OF INDIANA, INC
HIGHLAND, IN 46322
33aNPI1679661565assigned 10/10/2006
33bProvider typePediatric Dentist
28Total paid$6.41M
24GClaims124,053
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Indiana

Rank by total paid#8 of 155
Median peer was paid$414K
This provider vs. median15×

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$50K$100K$150K2018201920202021202220232024
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
201815,163$139K
201918,199$816K
202014,309$583K
202119,415$1.06M
202221,305$1.32M
202316,954$1.14M
2024incomplete18,708$1.35M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D4212 24% 4,649 1,008 $1.52M
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 11% 9,112 4,316 $732K
D2930 Prefabricated stainless steel crown - primary tooth 9.2% 4,517 1,751 $590K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 7.1% 4,894 2,095 $455K
D7140 Extraction, erupted tooth or exposed root 6.4% 5,557 2,406 $408K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 5.2% 16,440 15,544 $335K
D0272 Bitewings - two radiographic images 5.1% 15,286 14,424 $330K
D1110 Prophylaxis - adult 5.1% 7,673 7,222 $330K
D1208 Topical application of fluoride, excluding varnish 4.1% 13,658 12,908 $262K
D1120 Dental cleaning, childProphylaxis - child 3.8% 8,087 7,652 $244K
D1351 Sealant - per tooth 3.7% 10,056 2,803 $239K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3.6% 3,545 1,978 $229K
15 more codes
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.2% 7,990 $206K
D0210 Intraoral - complete series of radiographic images 1.7% 3,312 $111K
D0330 Panoramic radiographic image 1.7% 2,357 $109K
D0150 Comprehensive oral evaluation - new or established patient 1.3% 2,459 $81K
D2330 <1% 786 $56K
D0140 Limited oral evaluation - problem focused <1% 1,387 $44K
D2931 <1% 275 $41K
D9920 <1% 372 $21K
D2332 <1% 157 $17K
D4910 <1% 118 $13K
D2390 <1% 106 $13K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 284 $13K
D0220 Intraoral - periapical first radiographic image <1% 749 $8K
D0160 <1% 62 $5K
D3120 0% 165 $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 officialTYREE, CARL (OWNER)