Dental
Park Pediatric Dentistry LLC
Park Pediatric Dentistry LLC was paid $2.60M by Medicaid between Feb 2018 and Dec 2024, across 25 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 22% of everything it billed.
33Billing provider infoPARK PEDIATRIC DENTISTRY LLC
GREENWOOD, IN 46142
GREENWOOD, IN 46142
33aNPI1730610833assigned 03/21/2017
33bProvider typePediatric Dentist
28Total paid$2.60M
24GClaims79,872
24DCodes billed25
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Indiana
Rank by total paid#28 of 155
Median peer was paid$414K
This provider vs. median6.3×
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 | 3,416 | $18K | |
| 2019 | 7,477 | $242K | |
| 2020 | 8,668 | $294K | |
| 2021 | 12,541 | $429K | |
| 2022 | 15,889 | $546K | |
| 2023 | 18,979 | $623K | |
| 2024incomplete | 12,902 | $445K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 22% | 4,600 | 1,426 | $560K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 12,800 | 11,958 | $394K |
| D1206 | Topical application of fluoride varnish | 11% | 14,420 | 13,404 | $285K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.4% | 11,807 | 10,954 | $245K |
| D7140 | Extraction, erupted tooth or exposed root | 6.7% | 2,759 | 1,065 | $175K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.4% | 2,874 | 1,243 | $165K |
| D0272 | Bitewings - two radiographic images | 4.5% | 5,640 | 5,223 | $117K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.3% | 3,233 | 2,741 | $85K |
| D1110 | Prophylaxis - adult | 3.1% | 1,811 | 1,703 | $80K |
| D1354 | 2.7% | 885 | 283 | $70K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.6% | 809 | 378 | $68K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 2,434 | 2,287 | $67K |
13 more codes
| D0330 | Panoramic radiographic image | 2.2% | 1,405 | $58K |
| D0240 | 2.1% | 3,924 | $55K | |
| D0210 | Intraoral - complete series of radiographic images | 1.7% | 2,086 | $43K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,572 | $24K |
| D0140 | Limited oral evaluation - problem focused | <1% | 624 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,731 | $19K |
| D0274 | Bitewings - four radiographic images | <1% | 732 | $19K |
| D1351 | Sealant - per tooth | <1% | 762 | $17K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 501 | $14K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 211 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 87 | $5K |
| D2140 | <1% | 123 | $3K | |
| D9248 | <1% | 42 | $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.
From NPPES
Who's on the registration
Authorized officialALLISON, LESA (OWNER, MANAGING MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Plainfield Park Pediatric Dentistry | Plainfield, IN | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.