Dental
Surya Dental PSC
Surya Dental PSC was paid $131K by Medicaid between Aug 2022 and Jul 2024, across 21 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.
33Billing provider infoSURYA DENTAL PSC
LOUISVILLE, KY 40214
LOUISVILLE, KY 40214
33aNPI1770219859assigned 07/29/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$131K
24GClaims4,237
24DCodes billed21
24AFirst – last monthAug 2022 – Jul 2024
Compared with peers
Next to other General Practice Dentistry providers in Kentucky
Rank by total paid#210 of 462
Median peer was paid$106K
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 | |
|---|---|---|---|
| 2022 | 51 | $281.25 | |
| 2023 | 2,721 | $82K | |
| 2024incomplete | 1,465 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 22% | 590 | 578 | $29K |
| D0330 | Panoramic radiographic image | 15% | 547 | 535 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 547 | 534 | $15K |
| D4341 | 8.2% | 153 | 53 | $11K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.5% | 406 | 393 | $10K |
| D0274 | Bitewings - four radiographic images | 6.7% | 375 | 369 | $9K |
| D4910 | 5.8% | 111 | 106 | $8K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.6% | 94 | 45 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 3.6% | 152 | 142 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.9% | 68 | 67 | $4K |
| D4342 | 2.6% | 71 | 25 | $3K | |
| D1208 | Topical application of fluoride, excluding varnish | 2.5% | 198 | 195 | $3K |
9 more codes
| D0140 | Limited oral evaluation - problem focused | 2.3% | 87 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.3% | 21 | $2K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.2% | 16 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 277 | $1K |
| D2950 | <1% | 14 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 387 | $376.56 |
| D0272 | Bitewings - two radiographic images | <1% | 18 | $318.50 |
| D9986 | <1% | 91 | $246.00 | |
| D9987 | <1% | 14 | $42.00 |
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 officialHALDANKAR, MONALI (OWNER)