Dental
Charlestown Road Dental, LLC
Charlestown Road Dental, LLC was paid $1.62M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 12% of everything it billed.
33Billing provider infoCHARLESTOWN ROAD DENTAL, LLC
NEW ALBANY, IN 47150
NEW ALBANY, IN 47150
33aNPI1699958850assigned 12/11/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$1.62M
24GClaims43,464
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#46 of 723
Median peer was paid$60K
This provider vs. median27×
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 | 6,302 | $48K | |
| 2019 | 6,569 | $214K | |
| 2020 | 5,192 | $173K | |
| 2021 | 6,932 | $285K | |
| 2022 | 6,882 | $329K | |
| 2023 | 7,175 | $337K | |
| 2024incomplete | 4,412 | $232K |
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 | 12% | 2,654 | 1,405 | $192K |
| D1110 | Prophylaxis - adult | 11% | 4,039 | 3,826 | $177K |
| D0330 | Panoramic radiographic image | 10% | 3,605 | 3,383 | $168K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 4,534 | 4,243 | $164K |
| D7140 | Extraction, erupted tooth or exposed root | 9.9% | 1,758 | 691 | $160K |
| D0210 | Intraoral - complete series of radiographic images | 7.5% | 6,340 | 3,156 | $121K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.3% | 1,265 | 794 | $117K |
| D0140 | Limited oral evaluation - problem focused | 6.2% | 2,935 | 2,685 | $99K |
| D0274 | Bitewings - four radiographic images | 4.3% | 2,485 | 2,340 | $70K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.1% | 1,235 | 636 | $66K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.0% | 3,054 | 2,918 | $64K |
| D2335 | 2.6% | 325 | 147 | $43K |
13 more codes
| D5110 | 2.3% | 78 | $37K | |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 3,299 | $29K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 4,073 | $25K |
| D2394 | 1.2% | 162 | $20K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,009 | $16K |
| D5120 | <1% | 26 | $13K | |
| D2332 | <1% | 130 | $13K | |
| D2331 | <1% | 75 | $8K | |
| D1120 | Dental cleaning, child | <1% | 263 | $5K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 25 | $5K |
| D4346 | <1% | 29 | $3K | |
| D2330 | <1% | 41 | $2K | |
| D1999 | <1% | 25 | $15.00 |
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 officialMASON, JOHN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| J. Mason & Associates | Vine Grove, KY | $78K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.