Dental
Michiana Dental Care
Michiana Dental Care was paid $1.14M by Medicaid between Jan 2020 and Dec 2024, across 23 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoMICHIANA DENTAL CARE
MISHAWAKA, IN 46544
MISHAWAKA, IN 46544
33aNPI1992329148assigned 06/03/2020
33bProvider typeDentist
28Total paid$1.14M
24GClaims27,535
24DCodes billed23
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#52 of 452
Median peer was paid$59K
This provider vs. median19×
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 | 2,333 | $44K | |
| 2021 | 8,169 | $360K | |
| 2022 | 7,222 | $322K | |
| 2023 | 4,505 | $175K | |
| 2024incomplete | 5,306 | $242K |
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% | 2,265 | 1,259 | $189K |
| D1110 | Prophylaxis - adult | 14% | 3,179 | 2,879 | $165K |
| D0210 | Intraoral - complete series of radiographic images | 12% | 1,983 | 1,673 | $140K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.4% | 2,099 | 1,834 | $84K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.2% | 3,324 | 3,047 | $82K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.0% | 784 | 526 | $81K |
| D0140 | Limited oral evaluation - problem focused | 5.8% | 1,758 | 1,539 | $66K |
| D0274 | Bitewings - four radiographic images | 4.8% | 1,512 | 1,403 | $55K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.6% | 792 | 478 | $52K |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 3,297 | 2,927 | $44K |
| D7140 | Extraction, erupted tooth or exposed root | 3.8% | 528 | 230 | $43K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.8% | 184 | 113 | $32K |
11 more codes
| D1206 | Topical application of fluoride varnish | 2.8% | 1,595 | $32K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 2,645 | $28K |
| D1120 | Dental cleaning, child | 2.0% | 709 | $23K |
| D4341 | <1% | 66 | $10K | |
| D0330 | Panoramic radiographic image | <1% | 125 | $6K |
| D4910 | <1% | 43 | $3K | |
| D2332 | <1% | 21 | $3K | |
| D0277 | <1% | 53 | $3K | |
| D4346 | <1% | 13 | $2K | |
| D1999 | <1% | 533 | $450.00 | |
| D9986 | 0% | 27 | $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 officialMORGAN, ARACELIS (DENTAL BILLING)