Dental
Sapphire Dental Home - Anderson LLC
Sapphire Dental Home - Anderson LLC was paid $141K by Medicaid between Jul 2023 and Dec 2024, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoSAPPHIRE DENTAL HOME - ANDERSON LLC
ANDERSON, IN 46013
ANDERSON, IN 46013
33aNPI1962117960assigned 01/16/2023
33bProvider typeDentist
28Total paid$141K
24GClaims3,594
24DCodes billed15
24AFirst – last monthJul 2023 – Dec 2024
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#175 of 452
Median peer was paid$59K
This provider vs. median2.4×
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 | 791 | $22K | |
| 2024incomplete | 2,803 | $119K |
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 | 24% | 405 | 175 | $34K |
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 630 | 534 | $26K |
| D1110 | Prophylaxis - adult | 15% | 435 | 372 | $22K |
| D0210 | Intraoral - complete series of radiographic images | 8.3% | 320 | 257 | $12K |
| D0274 | Bitewings - four radiographic images | 6.5% | 314 | 257 | $9K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.3% | 47 | 28 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.1% | 124 | 63 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 524 | 376 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 403 | 241 | $4K |
| D0330 | Panoramic radiographic image | 1.8% | 71 | 60 | $3K |
| D1351 | Sealant - per tooth | 1.7% | 73 | 13 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.4% | 90 | 78 | $2K |
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 officialKAUR, PAWANDEEP (DDS)