Dental
DR. Thomas J. Pesarchick DDS INC.
DR. Thomas J. Pesarchick DDS INC. was paid $191K by Medicaid between Jan 2019 and Nov 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoDR. THOMAS J. PESARCHICK DDS INC.
GARRETTSVILLE, OH 44231
GARRETTSVILLE, OH 44231
33aNPI1023273406assigned 07/24/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$191K
24GClaims7,609
24DCodes billed16
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Ohio
Rank by total paid#247 of 870
Median peer was paid$40K
This provider vs. median4.7×
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 | |
|---|---|---|---|
| 2019 | 207 | $6K | |
| 2020 | 1,553 | $39K | |
| 2021 | 1,835 | $44K | |
| 2022 | 1,699 | $37K | |
| 2023 | 1,521 | $31K | |
| 2024incomplete | 794 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 1,321 | 1,293 | $46K |
| D7140 | Extraction, erupted tooth or exposed root | 15% | 537 | 262 | $29K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 1,401 | 1,384 | $26K |
| D0274 | Bitewings - four radiographic images | 13% | 1,136 | 1,112 | $24K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 361 | 252 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 5.9% | 697 | 693 | $11K |
| D1320 | 5.2% | 654 | 637 | $10K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 128 | 99 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 910 | 852 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 150 | 146 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.5% | 132 | 132 | $3K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 36 | 27 | $2K |
4 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 officialPESARCHICK, THOMAS (PRESIDENT)