Dental
Wiley Pediatric Dentistry, LLC
Wiley Pediatric Dentistry, LLC was paid $2.14M by Medicaid between Jan 2020 and Dec 2024, across 25 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 16% of everything it billed.
33Billing provider infoWILEY PEDIATRIC DENTISTRY, LLC
INDIANAPOLIS, IN 46224
INDIANAPOLIS, IN 46224
33aNPI1902457039assigned 09/20/2019
33bProvider typePediatric Dentist
28Total paid$2.14M
24GClaims64,715
24DCodes billed25
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Indiana
Rank by total paid#38 of 155
Median peer was paid$414K
This provider vs. median5.2×
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 | |
|---|---|---|---|
| 2020 | 5,586 | $147K | |
| 2021 | 15,704 | $520K | |
| 2022 | 18,427 | $637K | |
| 2023 | 14,005 | $427K | |
| 2024incomplete | 10,993 | $406K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 16% | 2,476 | 845 | $349K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 7,843 | 7,273 | $253K |
| D1351 | Sealant - per tooth | 11% | 8,917 | 1,604 | $233K |
| D1206 | Topical application of fluoride varnish | 10% | 10,886 | 10,088 | $223K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 10,081 | 9,357 | $215K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.0% | 2,747 | 1,418 | $171K |
| D1110 | Prophylaxis - adult | 7.7% | 3,943 | 3,637 | $165K |
| D0272 | Bitewings - two radiographic images | 5.1% | 4,793 | 4,452 | $109K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.3% | 3,196 | 2,536 | $92K |
| D7140 | Extraction, erupted tooth or exposed root | 2.9% | 820 | 354 | $61K |
| D0274 | Bitewings - four radiographic images | 2.8% | 2,149 | 1,957 | $60K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 1,520 | 1,405 | $49K |
13 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 908 | $42K |
| D1352 | 1.1% | 698 | $23K | |
| D0240 | 1.0% | 1,481 | $22K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 272 | $20K |
| D0330 | Panoramic radiographic image | <1% | 347 | $17K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 998 | $10K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 89 | $9K |
| D0140 | Limited oral evaluation - problem focused | <1% | 171 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 223 | $4K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 25 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 43 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 77 | $698.40 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | $551.09 |
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 officialWILEY, DILLON (DENTIST / OWNER)