Dental
Bloomington Family Dental
Bloomington Family Dental was paid $2.21M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is D1354, — 19% of everything it billed.
33Billing provider infoBLOOMINGTON FAMILY DENTAL
BLOOMINGTON, IN 47401
BLOOMINGTON, IN 47401
33aNPI1851628903assigned 11/11/2009
33bProvider typeDentist
28Total paid$2.21M
24GClaims54,277
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#26 of 452
Median peer was paid$59K
This provider vs. median37×
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 | 5,674 | $48K | |
| 2019 | 5,645 | $255K | |
| 2020 | 5,636 | $227K | |
| 2021 | 12,166 | $625K | |
| 2022 | 11,984 | $533K | |
| 2023 | 8,331 | $361K | |
| 2024incomplete | 4,841 | $158K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1354 | 19% | 5,041 | 983 | $418K | |
| D1110 | Prophylaxis - adult | 14% | 6,873 | 6,557 | $309K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.9% | 2,957 | 1,922 | $195K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.7% | 7,853 | 7,489 | $171K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.2% | 1,971 | 1,277 | $159K |
| D0274 | Bitewings - four radiographic images | 5.2% | 3,516 | 3,307 | $114K |
| D0210 | Intraoral - complete series of radiographic images | 4.8% | 2,857 | 2,282 | $106K |
| D7140 | Extraction, erupted tooth or exposed root | 4.7% | 1,422 | 601 | $105K |
| D0140 | Limited oral evaluation - problem focused | 3.3% | 2,368 | 2,213 | $72K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 2,361 | 2,241 | $71K |
| D0330 | Panoramic radiographic image | 3.2% | 1,608 | 1,522 | $70K |
| D1208 | Topical application of fluoride, excluding varnish | 3.0% | 3,733 | 3,557 | $66K |
14 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 1,012 | $50K |
| D2332 | 1.8% | 364 | $40K | |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 3,698 | $40K |
| D1120 | Dental cleaning, child | 1.6% | 1,311 | $35K |
| D2394 | 1.5% | 306 | $34K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 3,138 | $31K |
| D2331 | 1.4% | 324 | $30K | |
| D2335 | 1.4% | 194 | $30K | |
| D4910 | 1.3% | 285 | $29K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 118 | $14K |
| D4342 | <1% | 144 | $8K | |
| D2330 | <1% | 69 | $5K | |
| D0272 | Bitewings - two radiographic images | <1% | 162 | $3K |
| D1999 | <1% | 592 | $117.93 |
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 officialKLOBOVES, RYAN (DENTIST)