Dental
Carmien & Pedavoli Family Dentistry, LLC
Carmien & Pedavoli Family Dentistry, LLC was paid $5K by Medicaid between Apr 2024 and Oct 2024, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 60% of everything it billed.
33Billing provider infoCARMIEN & PEDAVOLI FAMILY DENTISTRY, LLC
PLYMOUTH, IN 46563
PLYMOUTH, IN 46563
33aNPI1780446989assigned 01/24/2024
33bProvider typeGeneral Practice Dentistry
28Total paid$5K
24GClaims169
24DCodes billed2
24AFirst – last monthApr 2024 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#561 of 723
Median peer was paid$60K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2024incomplete | 169 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 60% | 73 | 62 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 40% | 96 | 78 | $2K |
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 officialCARMIEN, MATTHEW (OWNER/PARTNER DENTIST)