Clinic
Masters Family Dentistry LLC
Masters Family Dentistry LLC was paid $101K by Medicaid between Jan 2018 and Jul 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.
33Billing provider infoMASTERS FAMILY DENTISTRY LLC
GREENWOOD, IN 46142
GREENWOOD, IN 46142
33aNPI1689878415assigned 06/14/2007
33bProvider typeDental Clinic/Center
28Total paid$101K
24GClaims5,069
24DCodes billed10
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Dental Clinic/Center providers in Indiana
Rank by total paid#74 of 123
Median peer was paid$191K
This provider vs. median0.5×
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 | 2,302 | $10K | |
| 2019 | 1,734 | $60K | |
| 2020 | 646 | $20K | |
| 2022 | 137 | $5K | |
| 2023 | 208 | $6K | |
| 2024incomplete | 42 | $799.75 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 32% | 1,019 | 977 | $32K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 1,293 | 1,247 | $20K |
| D0274 | Bitewings - four radiographic images | 13% | 632 | 601 | $13K |
| D1206 | Topical application of fluoride varnish | 11% | 917 | 869 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.9% | 270 | 150 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.5% | 417 | 402 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.3% | 185 | 111 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 195 | 178 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 1.5% | 127 | 127 | $1K |
| D0330 | Panoramic radiographic image | <1% | 14 | 13 | $258.08 |
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 officialMASTERS, JACOB (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Masters Family Dentistry of Southport | Indianapolis, IN | $45.16 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.