Dental
Shelbyville Family Dental
Shelbyville Family Dental was paid $712K by Medicaid between Jan 2018 and Jul 2021, across 22 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoSHELBYVILLE FAMILY DENTAL
SHELBYVILLE, IN 46176
SHELBYVILLE, IN 46176
33aNPI1740556851assigned 03/23/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$712K
24GClaims22,643
24DCodes billed22
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#91 of 723
Median peer was paid$60K
This provider vs. median12×
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 | 7,027 | $58K | |
| 2019 | 7,126 | $309K | |
| 2020 | 5,444 | $219K | |
| 2021 | 3,046 | $126K |
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 | 15% | 2,113 | 1,180 | $107K |
| D7140 | Extraction, erupted tooth or exposed root | 10% | 1,132 | 517 | $73K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 9.9% | 1,096 | 726 | $70K |
| D1110 | Prophylaxis - adult | 8.3% | 1,601 | 1,460 | $59K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.7% | 2,754 | 2,505 | $48K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.1% | 1,021 | 592 | $44K |
| D1208 | Topical application of fluoride, excluding varnish | 4.9% | 2,251 | 2,034 | $35K |
| D0140 | Limited oral evaluation - problem focused | 4.7% | 1,122 | 1,016 | $33K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.2% | 1,324 | 1,207 | $30K |
| D2335 | 4.1% | 241 | 109 | $29K | |
| D0274 | Bitewings - four radiographic images | 3.9% | 1,114 | 1,018 | $27K |
| D0210 | Intraoral - complete series of radiographic images | 3.8% | 507 | 486 | $27K |
10 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.7% | 1,347 | $26K |
| D0330 | Panoramic radiographic image | 3.6% | 810 | $26K |
| D2394 | 2.9% | 210 | $20K | |
| D1351 | Sealant - per tooth | 2.6% | 1,550 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 657 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 1,186 | $12K |
| D0272 | Bitewings - two radiographic images | <1% | 514 | $7K |
| D2332 | <1% | 25 | $2K | |
| D2331 | <1% | 22 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 46 | $250.00 |
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 officialSCEARCE, DIANE (DENTIST)