Dental
Vormohr Family Dentistry LLC
Vormohr Family Dentistry LLC was paid $278K by Medicaid between Jul 2023 and Dec 2024, across 20 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoVORMOHR FAMILY DENTISTRY LLC
PORTLAND, IN 47371
PORTLAND, IN 47371
33aNPI1922713668assigned 01/17/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$278K
24GClaims5,991
24DCodes billed20
24AFirst – last monthJul 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#189 of 723
Median peer was paid$60K
This provider vs. median4.7×
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 | |
|---|---|---|---|
| 2023 | 2,410 | $103K | |
| 2024incomplete | 3,581 | $175K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 589 | 331 | $50K |
| D1110 | Prophylaxis - adult | 15% | 728 | 700 | $41K |
| D7140 | Extraction, erupted tooth or exposed root | 12% | 322 | 139 | $32K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.3% | 776 | 744 | $20K |
| D0210 | Intraoral - complete series of radiographic images | 6.7% | 278 | 260 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.9% | 374 | 362 | $16K |
| D0140 | Limited oral evaluation - problem focused | 5.5% | 402 | 365 | $15K |
| D0274 | Bitewings - four radiographic images | 5.3% | 430 | 412 | $15K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.1% | 374 | 356 | $14K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.2% | 111 | 89 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 157 | 101 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 2.6% | 341 | 322 | $7K |
8 more codes
| D1206 | Topical application of fluoride varnish | 2.4% | 264 | $7K |
| D0330 | Panoramic radiographic image | 1.9% | 101 | $5K |
| D1354 | 1.1% | 53 | $3K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.1% | 125 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 212 | $3K |
| D1351 | Sealant - per tooth | <1% | 83 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 60 | $1K |
| D3120 | 0% | 211 | $0.00 |
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 officialVORMOHR, KYEONGHWA (DENTIST)