Dental
Teverbaugh4 LLC
Teverbaugh4 LLC was paid $583K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 33% of everything it billed.
33Billing provider infoTEVERBAUGH4 LLC
FISHERS, IN 46038
FISHERS, IN 46038
33aNPI1932441847assigned 03/19/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$583K
24GClaims17,795
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#112 of 723
Median peer was paid$60K
This provider vs. median9.8×
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 | 1,296 | $3K | |
| 2019 | 1,707 | $53K | |
| 2020 | 1,899 | $51K | |
| 2021 | 3,247 | $110K | |
| 2022 | 2,985 | $96K | |
| 2023 | 3,182 | $108K | |
| 2024incomplete | 3,479 | $162K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 33% | 4,163 | 3,859 | $193K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 4,376 | 4,068 | $95K |
| D0274 | Bitewings - four radiographic images | 12% | 2,122 | 1,979 | $70K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.5% | 1,307 | 1,188 | $44K |
| D2394 | 6.6% | 281 | 135 | $39K | |
| D0210 | Intraoral - complete series of radiographic images | 5.9% | 859 | 772 | $35K |
| D1208 | Topical application of fluoride, excluding varnish | 5.0% | 2,153 | 1,979 | $29K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.6% | 817 | 761 | $21K |
| D0330 | Panoramic radiographic image | 3.4% | 479 | 441 | $20K |
| D1206 | Topical application of fluoride varnish | 3.4% | 982 | 910 | $20K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.6% | 73 | 41 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.1% | 69 | 43 | $6K |
3 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 officialTEVERBAUGH, DIANA (DENTIST)