Dental
Fort Wayne Pediatric Dentistry LLC
Fort Wayne Pediatric Dentistry LLC was paid $440K by Medicaid between Sep 2020 and Dec 2024, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
33Billing provider infoFORT WAYNE PEDIATRIC DENTISTRY LLC
FORT WAYNE, IN 46825
FORT WAYNE, IN 46825
33aNPI1689185886assigned 10/16/2017
33bProvider typePediatric Dentist
28Total paid$440K
24GClaims13,131
24DCodes billed16
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Indiana
Rank by total paid#75 of 155
Median peer was paid$414K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2020 | 124 | $4K | |
| 2021 | 1,507 | $58K | |
| 2022 | 2,668 | $87K | |
| 2023 | 1,698 | $33K | |
| 2024incomplete | 7,134 | $258K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 2,899 | 2,719 | $107K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 21% | 640 | 183 | $92K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 3,448 | 3,227 | $79K |
| D1206 | Topical application of fluoride varnish | 17% | 3,451 | 3,226 | $73K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.1% | 950 | 909 | $31K |
| D0272 | Bitewings - two radiographic images | 3.9% | 743 | 698 | $17K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.4% | 509 | 458 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.3% | 172 | 101 | $14K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 76 | 13 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 56 | 50 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 37 | 12 | $2K |
| D0330 | Panoramic radiographic image | <1% | 29 | 28 | $2K |
4 more codes
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 officialLUDWIG, KEVIN (OWNER/PEDIATRIC DENTIST)