Dental
Evansville Pediatric Dentistry, P.C.
Evansville Pediatric Dentistry, P.C. was paid $1.54M by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 31% of everything it billed.
33Billing provider infoEVANSVILLE PEDIATRIC DENTISTRY, P.C.
EVANSVILLE, IN 47715
EVANSVILLE, IN 47715
33aNPI1801838321assigned 06/11/2006
33bProvider typePediatric Dentist
28Total paid$1.54M
24GClaims41,377
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Indiana
Rank by total paid#45 of 155
Median peer was paid$414K
This provider vs. median3.7×
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 | 7,692 | $47K | |
| 2019 | 8,876 | $350K | |
| 2020 | 5,935 | $239K | |
| 2021 | 7,494 | $317K | |
| 2022 | 6,796 | $288K | |
| 2023 | 2,468 | $110K | |
| 2024incomplete | 2,116 | $189K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 31% | 4,134 | 1,557 | $482K |
| D7140 | Extraction, erupted tooth or exposed root | 10% | 2,669 | 1,135 | $161K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 9.8% | 1,867 | 980 | $151K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.3% | 5,734 | 5,416 | $143K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.6% | 2,288 | 1,117 | $116K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.6% | 6,004 | 5,702 | $102K |
| D1208 | Topical application of fluoride, excluding varnish | 6.4% | 5,736 | 5,454 | $99K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 1,408 | 1,324 | $41K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.6% | 2,566 | 2,358 | $41K |
| D0272 | Bitewings - two radiographic images | 2.1% | 1,698 | 1,601 | $32K |
| D1351 | Sealant - per tooth | 1.9% | 1,435 | 389 | $29K |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 1,223 | 1,110 | $28K |
12 more codes
| D1110 | Prophylaxis - adult | 1.8% | 750 | $27K |
| D9248 | 1.5% | 705 | $23K | |
| D9920 | 1.2% | 795 | $19K | |
| D0330 | Panoramic radiographic image | <1% | 271 | $11K |
| D1510 | <1% | 72 | $7K | |
| D1206 | Topical application of fluoride varnish | <1% | 511 | $6K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 740 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 566 | $4K |
| D1354 | <1% | 50 | $4K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 108 | $4K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 17 | $986.69 |
| D0274 | Bitewings - four radiographic images | <1% | 30 | $984.76 |
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 officialHIESTER, JEFFREY (DENTIST)