Clinic
Indiju Dental PC
Indiju Dental PC was paid $15K by Medicaid between Dec 2020 and Dec 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 38% of everything it billed.
33Billing provider infoINDIJU DENTAL PC
HERSHEY, PA 17033
HERSHEY, PA 17033
33aNPI1831560663assigned 10/20/2015
33bProvider typeDental Clinic/Center
28Total paid$15K
24GClaims555
24DCodes billed9
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Pennsylvania
Rank by total paid#56 of 78
Median peer was paid$70K
This provider vs. median0.2×
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 | 41 | $1K | |
| 2021 | 119 | $3K | |
| 2024incomplete | 395 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 38% | 167 | 160 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 154 | 148 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 46 | 44 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 9.0% | 33 | 31 | $1K |
| D0274 | Bitewings - four radiographic images | 7.3% | 43 | 40 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 3.7% | 38 | 34 | $573.12 |
| D0330 | Panoramic radiographic image | 3.5% | 15 | 14 | $529.10 |
| D1120 | Dental cleaning, childProphylaxis - child | 2.6% | 17 | 14 | $393.00 |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 42 | 39 | $341.60 |
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 officialMOSS, BARRY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Indiju3dental LLC | Reading, PA | $69K |
| Ve Moss Dental PC | Hegins, PA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.