Dental
Elkhart Dental Center PC
Elkhart Dental Center PC was paid $783K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is D1110, Prophylaxis - adult — 18% of everything it billed.
33Billing provider infoELKHART DENTAL CENTER PC
ELKHART, IN 46514
ELKHART, IN 46514
33aNPI1962875286assigned 11/09/2015
33bProvider typeDentist
28Total paid$783K
24GClaims27,367
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#65 of 452
Median peer was paid$59K
This provider vs. median13×
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 | 6,448 | $38K | |
| 2019 | 5,672 | $190K | |
| 2020 | 1,124 | $39K | |
| 2021 | 5,906 | $227K | |
| 2022 | 5,996 | $221K | |
| 2023 | 1,332 | $38K | |
| 2024incomplete | 889 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 18% | 3,582 | 3,151 | $143K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 16% | 1,945 | 1,120 | $126K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.5% | 3,513 | 3,056 | $66K |
| D0274 | Bitewings - four radiographic images | 7.4% | 2,495 | 2,177 | $58K |
| D0210 | Intraoral - complete series of radiographic images | 5.9% | 1,017 | 862 | $47K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.7% | 297 | 136 | $45K |
| D1351 | Sealant - per tooth | 5.1% | 2,168 | 421 | $40K |
| D1208 | Topical application of fluoride, excluding varnish | 4.9% | 2,459 | 2,135 | $39K |
| D0140 | Limited oral evaluation - problem focused | 4.2% | 1,047 | 892 | $33K |
| D2160 | 3.4% | 284 | 201 | $27K | |
| D0330 | Panoramic radiographic image | 3.2% | 1,122 | 958 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 1,008 | 901 | $25K |
9 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.7% | 361 | $21K |
| D1120 | Dental cleaning, child | 2.4% | 953 | $19K |
| D2140 | 2.4% | 408 | $18K | |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 2,025 | $17K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.6% | 595 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.5% | 270 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 1,784 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 16 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 18 | $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 officialLUBARSKY, SUE (OFFICE MANAGER)