Sisson Family Dentistry INC

Sisson Family Dentistry INC was paid $28K by Medicaid between Jul 2020 and Apr 2023, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 53% of everything it billed.

33Billing provider infoSISSON FAMILY DENTISTRY INC
PENDLETON, IN 46064

33aNPI1972067569assigned 01/28/2019

33bProvider typeDental Clinic/Center

28Total paid$28K

24GClaims964

24DCodes billed7

24AFirst – last monthJul 2020 – Apr 2023

Compared with peers

Next to other Dental Clinic/Center providers in Indiana

Rank by total paid#91 of 123

Median peer was paid$191K

This provider vs. median0.1×

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
2020	119	$2K
2021	229	$7K
2022	504	$16K
2023	112	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	53%	352	290	$15K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	22%	283	241	$6K
D0274	Bitewings - four radiographic images	11%	108	88	$3K
D1206	Topical application of fluoride varnish	5.6%	73	54	$2K
D1999		4.1%	106	73	$1K
D0330	Panoramic radiographic image	2.4%	20	16	$681.64
D0150	Comprehensive oral evaluation - new or established patient	2.2%	22	16	$616.20

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 officialSISSON, JAMES (OWNER)