Clinic
Midwest Family Dental Care-Kokomo PC
Midwest Family Dental Care-Kokomo PC was paid $433K by Medicaid between Oct 2021 and Dec 2024, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoMIDWEST FAMILY DENTAL CARE-KOKOMO PC
KOKOMO, IN 46902
KOKOMO, IN 46902
33aNPI1982288007assigned 05/06/2021
33bProvider typeDental Clinic/Center
28Total paid$433K
24GClaims8,824
24DCodes billed18
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Indiana
Rank by total paid#44 of 123
Median peer was paid$191K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2021 | 57 | $3K | |
| 2022 | 908 | $41K | |
| 2023 | 3,428 | $185K | |
| 2024incomplete | 4,431 | $204K |
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 | 17% | 841 | 387 | $75K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 1,407 | 1,337 | $61K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 795 | 725 | $56K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 13% | 301 | 111 | $56K |
| D1110 | Prophylaxis - adult | 7.9% | 626 | 588 | $34K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.3% | 344 | 197 | $23K |
| D4346 | 5.0% | 152 | 146 | $21K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.6% | 584 | 557 | $16K |
| D0274 | Bitewings - four radiographic images | 3.5% | 418 | 394 | $15K |
| D1206 | Topical application of fluoride varnish | 3.1% | 586 | 563 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 835 | 766 | $12K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.6% | 114 | 61 | $11K |
6 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 officialMARTINEZ, JESSICA (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Jessica Marie | Omaha, NE | $227K |
| Galaxy Dentistry for Children | Tucson, AZ | $41K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.