Kids Dentistree of In, LLC
Kids Dentistree of In, LLC was paid $2.24M by Medicaid between Dec 2019 and Dec 2024, across 27 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 17% of everything it billed.
SCOTTSBURG, IN 47170
Next to other Pediatric Dentist providers in Indiana
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 107 | $3K | |
| 2020 | 1,949 | $46K | |
| 2021 | 9,021 | $249K | |
| 2022 | 16,209 | $494K | |
| 2023 | 25,789 | $842K | |
| 2024incomplete | 17,201 | $607K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 17% | 2,842 | 921 | $385K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 8,705 | 8,047 | $286K |
| D7140 | Extraction, erupted tooth or exposed root | 9.4% | 2,673 | 1,144 | $211K |
| D1354 | 7.1% | 3,022 | 642 | $159K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.0% | 7,119 | 6,583 | $157K |
| D1351 | Sealant - per tooth | 6.5% | 5,558 | 976 | $145K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.5% | 1,884 | 977 | $124K |
| D1208 | Topical application of fluoride, excluding varnish | 5.5% | 5,943 | 5,502 | $123K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 3,262 | 2,980 | $112K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.7% | 2,986 | 2,632 | $83K |
| D1206 | Topical application of fluoride varnish | 3.4% | 3,630 | 3,353 | $77K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 9,304 | 2,361 | $68K |
15 more codes
| D0272 | Bitewings - two radiographic images | 2.7% | 2,917 | $60K |
| D1110 | Prophylaxis - adult | 2.3% | 1,220 | $52K |
| D0210 | Intraoral - complete series of radiographic images | 2.2% | 2,276 | $50K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 3,873 | $37K |
| D0330 | Panoramic radiographic image | 1.6% | 1,062 | $35K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 702 | $35K |
| D0140 | Limited oral evaluation - problem focused | <1% | 482 | $16K |
| D0274 | Bitewings - four radiographic images | <1% | 433 | $12K |
| D2934 | <1% | 58 | $7K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 32 | $3K |
| D2332 | <1% | 19 | $2K | |
| D0240 | <1% | 154 | $2K | |
| D2330 | <1% | 16 | $1K | |
| D9310 | 0% | 12 | $0.00 | |
| D9420 | 0% | 92 | $0.00 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.