Dental
Ethos Dental Group L.L.C.
Ethos Dental Group L.L.C. was paid $164K by Medicaid between Apr 2018 and May 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.
33Billing provider infoETHOS DENTAL GROUP L.L.C.
MUNSTER, IN 46321
MUNSTER, IN 46321
33aNPI1770976433assigned 03/05/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$164K
24GClaims4,831
24DCodes billed12
24AFirst – last monthApr 2018 – May 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#253 of 723
Median peer was paid$60K
This provider vs. median2.7×
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 | 146 | $533.67 | |
| 2019 | 248 | $9K | |
| 2020 | 432 | $16K | |
| 2021 | 915 | $29K | |
| 2022 | 2,266 | $87K | |
| 2023 | 708 | $17K | |
| 2024incomplete | 116 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 32% | 1,234 | 1,170 | $52K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 548 | 518 | $19K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 268 | 166 | $19K |
| D0210 | Intraoral - complete series of radiographic images | 10% | 361 | 310 | $16K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.6% | 735 | 698 | $16K |
| D0274 | Bitewings - four radiographic images | 7.7% | 426 | 395 | $13K |
| D0140 | Limited oral evaluation - problem focused | 5.9% | 279 | 270 | $10K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.2% | 57 | 44 | $5K |
| D1206 | Topical application of fluoride varnish | 3.0% | 391 | 372 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 410 | 362 | $4K |
| D0330 | Panoramic radiographic image | 2.2% | 99 | 91 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 23 | 17 | $1K |
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 officialSTOJKOVICH, MARC (PARTNER)