Dental
Harrison Dental Group IV LLC
Harrison Dental Group IV LLC was paid $930K by Medicaid between Aug 2021 and Nov 2024, across 22 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoHARRISON DENTAL GROUP IV LLC
FORT WAYNE, IN 46815
FORT WAYNE, IN 46815
33aNPI1801499702assigned 11/21/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$930K
24GClaims20,502
24DCodes billed22
24AFirst – last monthAug 2021 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#72 of 723
Median peer was paid$60K
This provider vs. median16×
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 | |
|---|---|---|---|
| 2021 | 362 | $13K | |
| 2022 | 5,712 | $241K | |
| 2023 | 8,263 | $359K | |
| 2024incomplete | 6,165 | $317K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 1,913 | 1,111 | $158K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 11% | 1,061 | 707 | $105K |
| D1110 | Prophylaxis - adult | 11% | 2,084 | 1,987 | $103K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 2,444 | 2,344 | $97K |
| D0210 | Intraoral - complete series of radiographic images | 9.4% | 1,722 | 1,431 | $88K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.1% | 922 | 634 | $57K |
| D0140 | Limited oral evaluation - problem focused | 5.5% | 1,413 | 1,343 | $52K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.4% | 1,760 | 1,674 | $41K |
| D0274 | Bitewings - four radiographic images | 4.4% | 1,249 | 1,192 | $41K |
| D1206 | Topical application of fluoride varnish | 3.9% | 1,795 | 1,726 | $36K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.3% | 918 | 885 | $31K |
| D0330 | Panoramic radiographic image | 3.0% | 527 | 503 | $28K |
10 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.3% | 182 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 1,333 | $17K |
| D2394 | 1.6% | 138 | $15K | |
| D0272 | Bitewings - two radiographic images | 1.3% | 541 | $12K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.1% | 51 | $10K |
| D2331 | 1.0% | 93 | $10K | |
| D4346 | <1% | 29 | $4K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 293 | $3K |
| D2332 | <1% | 18 | $2K | |
| D2330 | <1% | 16 | $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 officialHARRISON, KEITH (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Harrison Dental Group II, LLC | Fort Wayne, IN | $3.07M |
| Harrison Dental Group III LLC | Fort Wayne, IN | $1.85M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.