Dental
Star Clinic
Star Clinic was paid $28K by Medicaid between Aug 2020 and Oct 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 38% of everything it billed.
33Billing provider infoSTAR CLINIC
INDIANAPOLIS, IN 46241
INDIANAPOLIS, IN 46241
33aNPI1790058741assigned 02/21/2012
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$28K
24GClaims929
24DCodes billed6
24AFirst – last monthAug 2020 – Oct 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Indiana
Rank by total paid#55 of 72
Median peer was paid$286K
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 | |
|---|---|---|---|
| 2020 | 65 | $2K | |
| 2021 | 171 | $6K | |
| 2022 | 317 | $8K | |
| 2023 | 165 | $4K | |
| 2024incomplete | 211 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 38% | 232 | 204 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 376 | 350 | $9K |
| D0274 | Bitewings - four radiographic images | 13% | 122 | 109 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 114 | 96 | $4K |
| D1206 | Topical application of fluoride varnish | 4.1% | 67 | 56 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 18 | 13 | $91.44 |
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 officialGHEBREMICHAEL, ESTHER (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Star Dental Clinic LLC | Indianapolis, IN | $2.15M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.