Olive Branch Dental-2 LLC

Olive Branch Dental-2 LLC was paid $19K by Medicaid between Nov 2022 and Nov 2024, across 8 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 44% of everything it billed.

33Billing provider infoOLIVE BRANCH DENTAL-2 LLC
COLUMBUS, IN 47201

33aNPI1972264398assigned 01/07/2022

33bProvider typeGeneral Practice Dentistry

28Total paid$19K

24GClaims796

24DCodes billed8

24AFirst – last monthNov 2022 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#468 of 723

Median peer was paid$60K

This provider vs. median0.3×

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
2022	15	$649.65
2023	601	$12K
2024incomplete	180	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	44%	210	196	$9K
D0274	Bitewings - four radiographic images	14%	87	81	$3K
D0230	Intraoral - periapical each additional radiographic image	10%	254	117	$2K
D1110	Prophylaxis - adult	10.0%	33	33	$2K
D0220	Intraoral - periapical first radiographic image	9.3%	150	138	$2K
D0330	Panoramic radiographic image	8.7%	34	32	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.1%	14	14	$411.60
D1206	Topical application of fluoride varnish	1.5%	14	14	$291.28

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 officialDURSHANAPALI, SRINIVAS (PRESIDENT)