Clinic
Cosmopolitan Dentistry
Cosmopolitan Dentistry was paid $228K by Medicaid between Jan 2018 and Apr 2024, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 31% of everything it billed.
33Billing provider infoCOSMOPOLITAN DENTISTRY
VALPARAISO, IN 46385
VALPARAISO, IN 46385
33aNPI1750450052assigned 11/08/2006
33bProvider typeDental Clinic/Center
28Total paid$228K
24GClaims5,371
24DCodes billed12
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Dental Clinic/Center providers in Indiana
Rank by total paid#59 of 123
Median peer was paid$191K
This provider vs. median1.2×
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 | 222 | $793.89 | |
| 2019 | 186 | $8K | |
| 2020 | 591 | $26K | |
| 2021 | 558 | $24K | |
| 2022 | 1,330 | $60K | |
| 2023 | 1,986 | $92K | |
| 2024incomplete | 498 | $17K |
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 | 31% | 990 | 434 | $70K |
| D1110 | Prophylaxis - adult | 25% | 1,115 | 1,039 | $56K |
| D0274 | Bitewings - four radiographic images | 12% | 767 | 717 | $27K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 1,003 | 926 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.8% | 364 | 341 | $13K |
| D0330 | Panoramic radiographic image | 4.3% | 190 | 177 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 142 | 88 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 3.5% | 251 | 214 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 2.8% | 402 | 385 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.6% | 42 | 27 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 80 | 64 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 25 | 25 | $828.00 |
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 officialCUELLAR, LUIS (PRESIDENT)