Dental
Spring Street Dental
Spring Street Dental was paid $186K by Medicaid between Jan 2018 and May 2021, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.
33Billing provider infoSPRING STREET DENTAL
JEFFERSONVILLE, IN 47130
JEFFERSONVILLE, IN 47130
33aNPI1770572083assigned 10/19/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$186K
24GClaims7,016
24DCodes billed17
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#232 of 723
Median peer was paid$60K
This provider vs. median3.1×
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 | 2,779 | $53K | |
| 2019 | 2,478 | $77K | |
| 2020 | 1,122 | $37K | |
| 2021 | 637 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 20% | 1,066 | 969 | $37K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,171 | 1,082 | $21K |
| D0330 | Panoramic radiographic image | 11% | 695 | 611 | $20K |
| D0140 | Limited oral evaluation - problem focused | 9.7% | 608 | 563 | $18K |
| D0274 | Bitewings - four radiographic images | 7.7% | 659 | 589 | $14K |
| D5110 | 7.1% | 45 | 42 | $13K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.4% | 437 | 391 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.5% | 290 | 135 | $10K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.2% | 151 | 82 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 3.9% | 172 | 131 | $7K |
| D5120 | 3.3% | 27 | 24 | $6K | |
| D1206 | Topical application of fluoride varnish | 3.2% | 406 | 360 | $6K |
5 more codes
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 officialJORDAN, MICHELLE (OFFICE MGR)
| Provider | Location | Paid |
|---|---|---|
| Cleco Primary Care Network | Shelby, NC | $2.02M |
| Cleco Primary Care Network | Kings Mountain, NC | $704K |
| Cleco Primary Care Network | Lawndale, NC | $560K |
| Carolina Oncology Specialist PA | Charlotte, NC | $218K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.