Dental
Center Grove Dental, LLC
Center Grove Dental, LLC was paid $157.69 by Medicaid between Oct 2022 and Oct 2022, across 1 billing code. Its largest line is D0220, Intraoral - periapical first radiographic image — 100% of everything it billed.
33Billing provider infoCENTER GROVE DENTAL, LLC
GREENWOOD, IN 46142
GREENWOOD, IN 46142
33aNPI1881152585assigned 03/12/2019
33bProvider typeDentist
28Total paid$157.69
24GClaims12
24DCodes billed1
24AFirst – last monthOct 2022 – Oct 2022
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#424 of 452
Median peer was paid$59K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2022 | 12 | $157.69 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 100% | 12 | 12 | $157.69 |
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 officialKONG, SUNG (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Bright Smile Dental Care | Fishers, IN | $14K |
| West 38TH Dental, LTD | Indianapolis, IN | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.