Dental
Nicholson Family Dental LLC
Nicholson Family Dental LLC was paid $355K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoNICHOLSON FAMILY DENTAL LLC
BLUFFTON, IN 46714
BLUFFTON, IN 46714
33aNPI1720398118assigned 10/19/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$355K
24GClaims21,347
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#159 of 723
Median peer was paid$60K
This provider vs. median6.0×
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 | 6,604 | $13K | |
| 2019 | 5,835 | $142K | |
| 2020 | 3,403 | $75K | |
| 2021 | 1,702 | $34K | |
| 2022 | 1,456 | $30K | |
| 2023 | 1,056 | $22K | |
| 2024incomplete | 1,291 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 3,165 | 2,949 | $73K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 4,206 | 3,919 | $69K |
| D1208 | Topical application of fluoride, excluding varnish | 18% | 4,100 | 3,794 | $63K |
| D1110 | Prophylaxis - adult | 15% | 1,484 | 1,366 | $52K |
| D0272 | Bitewings - two radiographic images | 6.2% | 1,415 | 1,290 | $22K |
| D0220 | Intraoral - periapical first radiographic image | 4.7% | 2,046 | 1,862 | $17K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.2% | 2,182 | 1,574 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 535 | 462 | $11K |
| D0274 | Bitewings - four radiographic images | 2.6% | 433 | 401 | $9K |
| D0240 | 2.4% | 1,003 | 475 | $8K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.8% | 466 | 431 | $6K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.4% | 32 | 13 | $5K |
5 more codes
| D0210 | Intraoral - complete series of radiographic images | <1% | 59 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 143 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 18 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 48 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 12 | $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 officialNICHOLSON, TERESA (OWNER/DENTIST)