Dental
Heart City Health Center, INC.
Heart City Health Center, INC. was paid $507K by Medicaid between Aug 2019 and Oct 2024, across 19 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.
33Billing provider infoHEART CITY HEALTH CENTER, INC.
ELKHART, IN 46516
ELKHART, IN 46516
33aNPI1811551211assigned 05/01/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$507K
24GClaims19,909
24DCodes billed19
24AFirst – last monthAug 2019 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#127 of 723
Median peer was paid$60K
This provider vs. median8.5×
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 | |
|---|---|---|---|
| 2019 | 459 | $17K | |
| 2020 | 1,620 | $53K | |
| 2021 | 9,843 | $299K | |
| 2022 | 3,524 | $56K | |
| 2023 | 3,653 | $71K | |
| 2024incomplete | 810 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 19% | 2,124 | 1,562 | $97K |
| D0140 | Limited oral evaluation - problem focused | 13% | 1,703 | 1,173 | $67K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 2,423 | 1,866 | $52K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 1,439 | 1,025 | $51K |
| D0210 | Intraoral - complete series of radiographic images | 7.8% | 611 | 414 | $39K |
| D1208 | Topical application of fluoride, excluding varnish | 7.5% | 1,922 | 1,514 | $38K |
| D0274 | Bitewings - four radiographic images | 6.2% | 1,076 | 797 | $31K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.3% | 902 | 670 | $27K |
| D0330 | Panoramic radiographic image | 3.7% | 466 | 314 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 1,310 | 874 | $18K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.5% | 240 | 120 | $18K |
| D1351 | Sealant - per tooth | 3.4% | 736 | 76 | $17K |
7 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.7% | 167 | $14K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 209 | $12K |
| D0272 | Bitewings - two radiographic images | <1% | 213 | $4K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 18 | $3K |
| D1206 | Topical application of fluoride varnish | <1% | 12 | $267.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 20 | $194.00 |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 4,318 | $0.00 |
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 officialFULTZ, ESLEEN (CEO)
Parent organizationHEART CITY HEALTH CENTER, INC.
| Provider | Location | Paid |
|---|---|---|
| Heart City Health Center, INC. | Elkhart, IN | $6.36M |
| Heart City Health Center, INC. | Elkhart, IN | $157K |
| Heart City Health Center, INC. | Elkhart, IN | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.