360 Dental, PC

360 Dental, PC was paid $45K by Medicaid between Jun 2018 and Mar 2023, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 37% of everything it billed.

33Billing provider info360 DENTAL, PC
PHILADELPHIA, PA 19124

33aNPI1063893535assigned 06/10/2015

33bProvider typeDental Clinic/Center

28Total paid$45K

24GClaims2,069

24DCodes billed8

24AFirst – last monthJun 2018 – Mar 2023

Compared with peers

Next to other Dental Clinic/Center providers in Pennsylvania

Rank by total paid#45 of 78

Median peer was paid$70K

This provider vs. median0.6×

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	26	$843.90
2020	188	$4K
2021	1,825	$40K
2023	30	$152.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	37%	471	470	$16K
D0274	Bitewings - four radiographic images	24%	386	386	$11K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	17%	382	380	$7K
D0150	Comprehensive oral evaluation - new or established patient	8.1%	181	181	$4K
D0230	Intraoral - periapical each additional radiographic image	5.5%	307	243	$2K
D0220	Intraoral - periapical first radiographic image	5.2%	290	290	$2K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.4%	18	12	$1K
D1208	Topical application of fluoride, excluding varnish	1.4%	34	34	$636.48

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 officialSITKOVETSKY, MIKHAIL (OWNER/DOCTOR)