Dental
Williams, Delisa
Williams, Delisa was paid $204K by Medicaid between Jan 2018 and Nov 2021, across 20 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoWILLIAMS, DELISA
EAST EARL, PA 17519
EAST EARL, PA 17519
33aNPI1003919077assigned 09/06/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$204K
24GClaims5,990
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#160 of 847
Median peer was paid$37K
This provider vs. median5.5×
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 | |
|---|---|---|---|
| 2018 | 623 | $20K | |
| 2019 | 259 | $8K | |
| 2020 | 477 | $16K | |
| 2021 | 4,631 | $160K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 906 | 902 | $49K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 1,264 | 1,259 | $37K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.6% | 181 | 129 | $20K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.1% | 389 | 389 | $16K |
| D0274 | Bitewings - four radiographic images | 7.9% | 424 | 421 | $16K |
| D1206 | Topical application of fluoride varnish | 7.5% | 835 | 835 | $15K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.8% | 82 | 51 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 171 | 171 | $9K |
| D0330 | Panoramic radiographic image | 3.4% | 108 | 108 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 64 | 45 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 2.1% | 58 | 58 | $4K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.5% | 17 | 12 | $3K |
8 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.