Dental
Jansen Family Dentistry, P.C.
Jansen Family Dentistry, P.C. was paid $149K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.
33Billing provider infoJANSEN FAMILY DENTISTRY, P.C.
KENDALLVILLE, IN 46755
KENDALLVILLE, IN 46755
33aNPI1952351264assigned 05/10/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$149K
24GClaims6,110
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#264 of 723
Median peer was paid$60K
This provider vs. median2.5×
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 | 1,123 | $7K | |
| 2019 | 974 | $27K | |
| 2020 | 821 | $21K | |
| 2021 | 883 | $27K | |
| 2022 | 932 | $26K | |
| 2023 | 922 | $26K | |
| 2024incomplete | 455 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 47% | 1,789 | 1,646 | $70K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 36% | 2,844 | 2,626 | $53K |
| D1206 | Topical application of fluoride varnish | 5.3% | 404 | 371 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.2% | 363 | 322 | $6K |
| D0274 | Bitewings - four radiographic images | 3.7% | 196 | 181 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 2.7% | 438 | 403 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.2% | 28 | 12 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 19 | 12 | $390.50 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 15 | 13 | $126.73 |
| D0272 | Bitewings - two radiographic images | <1% | 14 | 14 | $49.62 |
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 officialJANSEN, SUSAN (BUSINESS MANAGER)