DR David G Dickerhoff DDS & Associates PA

DR David G Dickerhoff DDS & Associates PA was paid $42K by Medicaid between Jan 2018 and May 2021, across 7 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 35% of everything it billed.

33Billing provider infoDR DAVID G DICKERHOFF DDS & ASSOCIATES PA
SPRING LAKE, NC 28390

33aNPI1003992223assigned 10/31/2006

33bProvider typeDental Clinic/Center

28Total paid$42K

24GClaims2,421

24DCodes billed7

24AFirst – last monthJan 2018 – May 2021

Compared with peers

Next to other Dental Clinic/Center providers in North Carolina

Rank by total paid#79 of 105

Median peer was paid$224K

This provider vs. median0.2×

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	579	$12K
2019	580	$12K
2020	772	$10K
2021	490	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	35%	926	909	$15K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	34%	554	546	$14K
D1120	Dental cleaning, childProphylaxis - child	23%	353	342	$9K
D1110	Prophylaxis - adult	3.8%	42	42	$2K
D0330	Panoramic radiographic image	3.0%	25	24	$1K
D0150	Comprehensive oral evaluation - new or established patient	1.2%	12	12	$496.92
D1999		0%	509	444	$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 officialCARR FINCH, ANGELA (OFFICE MANAGER)