Dental
Elwood Family Dentistry, LLC
Elwood Family Dentistry, LLC was paid $174K by Medicaid between Oct 2019 and Nov 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoELWOOD FAMILY DENTISTRY, LLC
ELWOOD, IN 46036
ELWOOD, IN 46036
33aNPI1740718980assigned 06/01/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$174K
24GClaims4,926
24DCodes billed11
24AFirst – last monthOct 2019 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#240 of 723
Median peer was paid$60K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2019 | 27 | $945.39 | |
| 2020 | 355 | $11K | |
| 2021 | 498 | $18K | |
| 2022 | 1,560 | $61K | |
| 2023 | 1,644 | $55K | |
| 2024incomplete | 842 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 1,160 | 1,005 | $52K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 1,129 | 980 | $25K |
| D0210 | Intraoral - complete series of radiographic images | 12% | 379 | 309 | $22K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 292 | 148 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 549 | 475 | $18K |
| D1206 | Topical application of fluoride varnish | 8.0% | 715 | 620 | $14K |
| D0274 | Bitewings - four radiographic images | 7.3% | 407 | 365 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.8% | 160 | 152 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.2% | 40 | 25 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 28 | 25 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 67 | 54 | $690.38 |
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 officialLEFEVRE, KEVIN (VICE PRESIDENT)