Dental
Harrison Dental Group II, LLC
Harrison Dental Group II, LLC was paid $3.07M by Medicaid between Jan 2019 and Nov 2024, across 27 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 14% of everything it billed.
33Billing provider infoHARRISON DENTAL GROUP II, LLC
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
33aNPI1689140949assigned 10/15/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$3.07M
24GClaims67,943
24DCodes billed27
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#24 of 723
Median peer was paid$60K
This provider vs. median52×
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 | |
|---|---|---|---|
| 2019 | 4,202 | $165K | |
| 2020 | 7,796 | $329K | |
| 2021 | 14,005 | $610K | |
| 2022 | 16,674 | $762K | |
| 2023 | 16,523 | $777K | |
| 2024incomplete | 8,743 | $430K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 5,497 | 3,102 | $429K |
| D1110 | Prophylaxis - adult | 10% | 6,445 | 6,158 | $319K |
| D7140 | Extraction, erupted tooth or exposed root | 9.5% | 3,446 | 1,650 | $292K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.2% | 2,320 | 1,575 | $221K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.6% | 5,350 | 4,997 | $204K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.4% | 7,053 | 6,739 | $165K |
| D0140 | Limited oral evaluation - problem focused | 5.3% | 4,460 | 4,096 | $162K |
| D0274 | Bitewings - four radiographic images | 5.1% | 4,604 | 4,354 | $156K |
| D0210 | Intraoral - complete series of radiographic images | 4.8% | 3,030 | 2,448 | $149K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.6% | 2,476 | 1,672 | $141K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 4.3% | 777 | 554 | $133K |
| D1206 | Topical application of fluoride varnish | 4.0% | 5,825 | 5,548 | $123K |
15 more codes
| D1120 | Dental cleaning, child | 3.3% | 3,086 | $102K |
| D0330 | Panoramic radiographic image | 3.1% | 1,807 | $96K |
| D1351 | Sealant - per tooth | 2.3% | 2,685 | $71K |
| D2331 | 2.1% | 617 | $64K | |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 4,099 | $48K |
| D4346 | 1.6% | 312 | $48K | |
| D0272 | Bitewings - two radiographic images | 1.3% | 1,779 | $41K |
| D2335 | <1% | 156 | $26K | |
| D2332 | <1% | 195 | $22K | |
| D2330 | <1% | 190 | $14K | |
| D2394 | <1% | 91 | $11K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 386 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,104 | $10K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 63 | $9K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 90 | $8K |
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 officialHARRISON, KEITH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Harrison Dental Group III LLC | Fort Wayne, IN | $1.85M |
| Harrison Dental Group IV LLC | Fort Wayne, IN | $930K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.