Rethiyamma, Rekha

Rethiyamma, Rekha was paid $47K by Medicaid between Dec 2020 and Nov 2021, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.

33Billing provider infoRETHIYAMMA, REKHA
MISHAWAKA, IN 46545

33aNPI1730461203assigned 09/12/2011

33bProvider typeGeneral Practice Dentistry

28Total paid$47K

24GClaims2,092

24DCodes billed10

24AFirst – last monthDec 2020 – Nov 2021

Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#392 of 723

Median peer was paid$60K

This provider vs. median0.8×

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	221	$6K
2021	1,871	$41K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	22%	280	276	$10K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	19%	503	494	$9K
D1120	Dental cleaning, childProphylaxis - child	17%	167	167	$8K
D0274	Bitewings - four radiographic images	11%	203	202	$5K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	9.9%	82	47	$5K
D1206	Topical application of fluoride varnish	8.9%	298	295	$4K
D0220	Intraoral - periapical first radiographic image	4.5%	280	266	$2K
D0140	Limited oral evaluation - problem focused	2.6%	41	40	$1K
D0230	Intraoral - periapical each additional radiographic image	2.4%	205	142	$1K
D0330	Panoramic radiographic image	2.4%	33	33	$1K

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.