Dental
Southway Family Dentistry
Southway Family Dentistry was paid $352K by Medicaid between Jan 2018 and May 2022, across 14 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 32% of everything it billed.
33Billing provider infoSOUTHWAY FAMILY DENTISTRY
MUNCIE, IN 47302
MUNCIE, IN 47302
33aNPI1902154248assigned 08/16/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$352K
24GClaims9,526
24DCodes billed14
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#160 of 723
Median peer was paid$60K
This provider vs. median5.9×
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 | 1,665 | $14K | |
| 2019 | 2,297 | $109K | |
| 2020 | 1,721 | $64K | |
| 2021 | 2,926 | $122K | |
| 2022 | 917 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 32% | 1,605 | 632 | $113K |
| D1110 | Prophylaxis - adult | 17% | 1,377 | 1,270 | $59K |
| D0140 | Limited oral evaluation - problem focused | 14% | 1,566 | 1,426 | $49K |
| D0274 | Bitewings - four radiographic images | 9.0% | 955 | 867 | $32K |
| D0330 | Panoramic radiographic image | 9.0% | 582 | 548 | $32K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.7% | 1,160 | 1,078 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 474 | 432 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.0% | 166 | 95 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 1,345 | 1,119 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.9% | 92 | 52 | $7K |
| D1206 | Topical application of fluoride varnish | <1% | 141 | 124 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 27 | 25 | $483.00 |
2 more codes
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 officialBUKSAR, DAVID (OWNER)