Dental
Georgetown Dental Center
Georgetown Dental Center was paid $2.03M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 14% of everything it billed.
33Billing provider infoGEORGETOWN DENTAL CENTER
INDIANAPOLIS, IN 46254
INDIANAPOLIS, IN 46254
33aNPI1871862672assigned 12/22/2011
33bProvider typeDentist
28Total paid$2.03M
24GClaims49,869
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#32 of 452
Median peer was paid$59K
This provider vs. median34×
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 | 1,610 | $11K | |
| 2019 | 4,665 | $172K | |
| 2020 | 6,536 | $309K | |
| 2021 | 8,321 | $343K | |
| 2022 | 8,065 | $348K | |
| 2023 | 9,777 | $365K | |
| 2024incomplete | 10,895 | $481K |
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 | 14% | 3,584 | 1,853 | $277K |
| D1110 | Prophylaxis - adult | 13% | 5,786 | 5,188 | $262K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 11% | 1,596 | 806 | $230K |
| D0330 | Panoramic radiographic image | 9.4% | 4,437 | 3,836 | $190K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.4% | 5,239 | 4,657 | $190K |
| D0274 | Bitewings - four radiographic images | 8.0% | 5,354 | 4,802 | $162K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.7% | 5,217 | 4,680 | $115K |
| D0140 | Limited oral evaluation - problem focused | 5.3% | 3,368 | 2,950 | $107K |
| D0210 | Intraoral - complete series of radiographic images | 5.3% | 3,721 | 3,245 | $107K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.2% | 1,092 | 718 | $105K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.6% | 1,259 | 772 | $73K |
| D4346 | 2.9% | 423 | 371 | $58K |
14 more codes
| D1206 | Topical application of fluoride varnish | 2.0% | 2,372 | $41K |
| D1120 | Dental cleaning, child | 1.4% | 1,046 | $28K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 282 | $20K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,288 | $18K |
| D2335 | <1% | 61 | $10K | |
| D0272 | Bitewings - two radiographic images | <1% | 397 | $9K |
| D2949 | <1% | 67 | $7K | |
| D2394 | <1% | 47 | $5K | |
| D1351 | Sealant - per tooth | <1% | 197 | $5K |
| D7250 | <1% | 25 | $4K | |
| D4342 | <1% | 40 | $3K | |
| D2331 | <1% | 20 | $2K | |
| D1999 | <1% | 579 | $178.48 | |
| D0350 | 0% | 1,372 | $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 officialBARTA, BRENT (OWNER)
Parent organizationWEST 10TH DENTAL GROUP
| Provider | Location | Paid |
|---|---|---|
| WTDG Specialist Group LLC | Indianapolis, IN | $5.98M |
| West 10TH Dental Group, Professional Corporation | Indianapolis, IN | $3.32M |
| My Indy Dental Center LLC | Indianapolis, IN | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.