Clinic
Main Street Dental Care,llc
Main Street Dental Care,llc was paid $82K by Medicaid between Jun 2020 and Nov 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.
33Billing provider infoMAIN STREET DENTAL CARE,LLC
BROWNSBURG, IN 46112
BROWNSBURG, IN 46112
33aNPI1770054520assigned 12/05/2018
33bProvider typeDental Clinic/Center
28Total paid$82K
24GClaims3,482
24DCodes billed11
24AFirst – last monthJun 2020 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Indiana
Rank by total paid#77 of 123
Median peer was paid$191K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2020 | 257 | $2K | |
| 2021 | 685 | $12K | |
| 2022 | 1,581 | $40K | |
| 2023 | 553 | $19K | |
| 2024incomplete | 406 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 34% | 610 | 509 | $28K |
| D0274 | Bitewings - four radiographic images | 17% | 448 | 370 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 409 | 364 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.7% | 246 | 202 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.7% | 106 | 38 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 7.2% | 561 | 442 | $6K |
| D0140 | Limited oral evaluation - problem focused | 7.0% | 177 | 142 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 327 | 149 | $2K |
| D1206 | Topical application of fluoride varnish | 2.4% | 119 | 109 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 15 | 13 | $207.00 |
| D1999 | 0% | 464 | 342 | $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.
From NPPES
Who's on the registration
Authorized officialSHARMA, ASHWANI (OWNER)