Dental
Hewitt Dental Group of Goshen, LTD.
Hewitt Dental Group of Goshen, LTD. was paid $2.65M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 11% of everything it billed.
33Billing provider infoHEWITT DENTAL GROUP OF GOSHEN, LTD.
GOSHEN, IN 46526
GOSHEN, IN 46526
33aNPI1700114261assigned 11/20/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$2.65M
24GClaims67,619
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#30 of 723
Median peer was paid$60K
This provider vs. median44×
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 | 9,866 | $46K | |
| 2019 | 11,397 | $415K | |
| 2020 | 8,025 | $278K | |
| 2021 | 8,683 | $378K | |
| 2022 | 8,609 | $400K | |
| 2023 | 10,853 | $578K | |
| 2024incomplete | 10,186 | $554K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 11% | 4,960 | 4,429 | $291K |
| D1110 | Prophylaxis - adult | 8.1% | 5,182 | 4,852 | $214K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.0% | 2,726 | 1,401 | $211K |
| D7140 | Extraction, erupted tooth or exposed root | 7.8% | 2,340 | 1,021 | $208K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 7.0% | 3,204 | 1,663 | $186K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.0% | 7,876 | 7,344 | $158K |
| D4346 | 6.0% | 982 | 899 | $158K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.4% | 1,513 | 908 | $143K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 3,896 | 3,642 | $139K |
| D1351 | Sealant - per tooth | 5.1% | 6,129 | 1,211 | $134K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 4.7% | 705 | 386 | $125K |
| D1208 | Topical application of fluoride, excluding varnish | 3.7% | 5,680 | 5,296 | $99K |
16 more codes
| D0274 | Bitewings - four radiographic images | 3.4% | 3,011 | $89K |
| D2140 | 2.6% | 1,497 | $68K | |
| D1120 | Dental cleaning, child | 2.4% | 2,378 | $63K |
| D2160 | 2.1% | 835 | $56K | |
| D0140 | Limited oral evaluation - problem focused | 2.1% | 1,531 | $54K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 720 | $44K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 4,003 | $43K |
| D0330 | Panoramic radiographic image | 1.6% | 1,307 | $42K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 4,185 | $29K |
| D2332 | 1.1% | 258 | $29K | |
| D2335 | <1% | 201 | $26K | |
| D0272 | Bitewings - two radiographic images | <1% | 1,408 | $21K |
| D2394 | <1% | 76 | $9K | |
| D1206 | Topical application of fluoride varnish | <1% | 239 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 57 | $2K |
| D1999 | 0% | 720 | $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 officialHEWITT, SCOTT (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Hewitt Dental Group of Elkhart, LTD. | Elkhart, IN | $3.66M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.