Dental
Sullivan Family Dentistry, LLC
Sullivan Family Dentistry, LLC was paid $578K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.
33Billing provider infoSULLIVAN FAMILY DENTISTRY, LLC
SULLIVAN, IN 47882
SULLIVAN, IN 47882
33aNPI1871996199assigned 10/01/2014
33bProvider typeDentist
28Total paid$578K
24GClaims18,567
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#77 of 452
Median peer was paid$59K
This provider vs. median9.8×
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 | 2,363 | $11K | |
| 2019 | 2,800 | $94K | |
| 2020 | 2,443 | $85K | |
| 2021 | 4,001 | $147K | |
| 2022 | 2,880 | $103K | |
| 2023 | 2,327 | $75K | |
| 2024incomplete | 1,753 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 31% | 3,912 | 3,398 | $179K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 5,051 | 4,338 | $109K |
| D1206 | Topical application of fluoride varnish | 11% | 3,561 | 3,062 | $63K |
| D1120 | Dental cleaning, childProphylaxis - child | 10.0% | 1,925 | 1,599 | $58K |
| D0210 | Intraoral - complete series of radiographic images | 7.9% | 678 | 559 | $46K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.1% | 427 | 267 | $29K |
| D0140 | Limited oral evaluation - problem focused | 4.8% | 820 | 690 | $28K |
| D0274 | Bitewings - four radiographic images | 4.8% | 751 | 632 | $28K |
| D0272 | Bitewings - two radiographic images | 2.2% | 608 | 555 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 280 | 198 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 287 | 228 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 44 | 13 | $4K |
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 officialSMITH, GREGG (SENIOR PARTNER OWNER)