Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Cleveland Dental Institute LLC

Cleveland Dental Institute LLC was paid $16.86M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 20% of everything it billed.

33Billing provider infoCLEVELAND DENTAL INSTITUTE LLC
CLEVELAND, OH 44104
33aNPI1003276106assigned 03/02/2016
33bProvider typeDental Clinic/Center
28Total paid$16.86M
24GClaims388,186
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dental Clinic/Center providers in Ohio

Rank by total paid#2 of 111
Median peer was paid$236K
This provider vs. median71×

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

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
201818,485$558K
201936,183$1.24M
202039,374$1.37M
202146,017$1.69M
202229,093$854K
202383,202$2.68M
2024incomplete135,832$8.46M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7140 Extraction, erupted tooth or exposed root 20% 50,138 18,682 $3.37M
D0330 Panoramic radiographic image 9.3% 28,323 26,982 $1.56M
D3330 Endodontic therapy, molar tooth (excluding final restoration) 8.1% 2,723 2,548 $1.37M
D2391 Resin-based composite - one surface, posterior, primary or permanent 6.1% 16,319 9,625 $1.03M
D0150 Comprehensive oral evaluation - new or established patient 6.1% 33,070 31,416 $1.03M
D1110 Prophylaxis - adult 5.9% 23,892 22,880 $995K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 5.6% 15,140 10,269 $952K
D0140 Limited oral evaluation - problem focused 3.8% 21,712 20,674 $637K
D0210 Intraoral - complete series of radiographic images 3.3% 11,156 9,954 $564K
D0274 Bitewings - four radiographic images 2.5% 20,968 19,899 $429K
D3320 2.2% 945 877 $373K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 2.2% 15,876 15,395 $367K
51 more codes
D1120 Dental cleaning, child 2.1% 14,058 $346K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 2.0% 4,482 $331K
D0220 Intraoral - periapical first radiographic image 1.5% 39,669 $260K
D2740 Crown - porcelain/ceramic 1.4% 326 $240K
D3310 1.4% 692 $236K
D0230 Intraoral - periapical each additional radiographic image 1.4% 39,181 $229K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 1.4% 2,685 $228K
D2335 1.2% 1,914 $210K
D2330 1.0% 2,762 $176K
D5110 <1% 370 $164K
D2930 Prefabricated stainless steel crown - primary tooth <1% 1,005 $153K
D1206 Topical application of fluoride varnish <1% 7,091 $147K
D2950 <1% 1,272 $141K
D1208 Topical application of fluoride, excluding varnish <1% 7,484 $129K
D1351 Sealant - per tooth <1% 4,644 $128K
D2332 <1% 1,397 $125K
D5120 <1% 298 $119K
D2394 <1% 1,180 $110K
D2331 <1% 1,147 $87K
D0272 Bitewings - two radiographic images <1% 6,186 $70K
D4341 <1% 610 $68K
D7230 <1% 429 $64K
D5214 <1% 67 $59K
D2150 Silver amalgam - two surfaces, primary or permanent <1% 851 $47K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 472 $43K
D7310 <1% 352 $42K
D2140 <1% 727 $30K
D8670 Periodic orthodontic treatment visit <1% 76 $29K
D0340 <1% 321 $25K
D7240 Removal of impacted tooth - completely bony <1% 103 $23K
D2160 <1% 263 $17K
D7250 <1% 182 $17K
D9243 <1% 569 $17K
D0270 <1% 3,462 $15K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 273 $12K
D0470 <1% 302 $8K
D9239 <1% 116 $7K
D5213 <1% 14 $7K
D0350 <1% 308 $5K
D7241 <1% 22 $4K
D2954 <1% 32 $3K
D1510 <1% 14 $3K
D7311 <1% 82 $3K
D4342 <1% 37 $2K
D7473 <1% 20 $2K
D2161 <1% 23 $2K
D1320 <1% 134 $1K
D2940 <1% 17 $288.00
D1999 0% 80 $0.00
D1330 0% 90 $0.00
D9999 Unspecified adjunctive procedure, by report 0% 33 $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 officialELRAWY, HUSSEIN (PRESIDENT)