Dental
Hanover Pediatric Dentistry
Hanover Pediatric Dentistry was paid $2K by Medicaid between Oct 2024 and Dec 2024, across 2 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 84% of everything it billed.
33Billing provider infoHANOVER PEDIATRIC DENTISTRY
HANOVER, PA 17331
HANOVER, PA 17331
33aNPI1053174938assigned 02/02/2024
33bProvider typePediatric Dentist
28Total paid$2K
24GClaims61
24DCodes billed2
24AFirst – last monthOct 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#220 of 237
Median peer was paid$109K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 61 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 84% | 46 | 46 | $1K |
| D1206 | Topical application of fluoride varnish | 16% | 15 | 15 | $270.00 |
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 officialKIM, JAEPIL (PEDIATRIC DENTIST)