Dental
Kids Dentistree - Corydon LLC
Kids Dentistree - Corydon LLC was paid $3.88M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D1354, — 19% of everything it billed.
33Billing provider infoKIDS DENTISTREE - CORYDON LLC
CORYDON, IN 47112
CORYDON, IN 47112
33aNPI1922530419assigned 04/03/2017
33bProvider typeDentist
28Total paid$3.88M
24GClaims122,061
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#13 of 452
Median peer was paid$59K
This provider vs. median66×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official JAMES, STEPHEN controls 18+ related entities in our dataset. Read more
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 | 9,935 | $45K | |
| 2019 | 13,666 | $427K | |
| 2020 | 11,877 | $367K | |
| 2021 | 17,644 | $613K | |
| 2022 | 20,702 | $725K | |
| 2023 | 25,049 | $938K | |
| 2024incomplete | 23,188 | $768K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1354 | 19% | 11,122 | 2,823 | $737K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 15% | 4,613 | 1,764 | $581K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 13,508 | 12,907 | $423K |
| D1351 | Sealant - per tooth | 9.2% | 13,251 | 2,563 | $358K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.6% | 12,143 | 11,599 | $255K |
| D0272 | Bitewings - two radiographic images | 5.5% | 9,818 | 9,361 | $214K |
| D1208 | Topical application of fluoride, excluding varnish | 5.2% | 10,555 | 10,019 | $200K |
| D7140 | Extraction, erupted tooth or exposed root | 4.3% | 2,161 | 1,271 | $167K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.1% | 2,954 | 1,442 | $160K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.2% | 4,796 | 4,217 | $125K |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 11,530 | 10,621 | $104K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 11,159 | 9,533 | $104K |
13 more codes
| D1206 | Topical application of fluoride varnish | 2.2% | 3,791 | $87K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 2,400 | $75K |
| D0210 | Intraoral - complete series of radiographic images | 1.7% | 1,747 | $67K |
| D1110 | Prophylaxis - adult | 1.7% | 1,460 | $65K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 1,337 | $42K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 704 | $38K |
| D0274 | Bitewings - four radiographic images | <1% | 955 | $28K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 191 | $19K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 396 | $13K |
| D0330 | Panoramic radiographic image | <1% | 256 | $7K |
| D9248 | <1% | 366 | $7K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 63 | $5K |
| D0240 | <1% | 785 | $2K |
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 officialJAMES, STEPHEN (CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.