RYAN D PENSYL, DMD, PA
NPI: 1073022562
· CUMBERLAND, MD 21502
· General Practice Dentistry
· NPI assigned 09/27/2017
$171K
Total Medicaid Paid
Provider Details
| Authorized Official | HEAVNER, KATHARINE (OFFICE MANAGER/DENTAL HYGIENIST) |
| NPI Enumeration Date | 09/27/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
715 |
$18K |
| 2019 |
776 |
$21K |
| 2020 |
627 |
$16K |
| 2021 |
835 |
$22K |
| 2022 |
817 |
$20K |
| 2023 |
1,428 |
$45K |
| 2024 |
876 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,017 |
1,990 |
$52K |
| D1120 |
Prophylaxis - child |
1,189 |
1,174 |
$45K |
| D1110 |
Prophylaxis - adult |
653 |
645 |
$35K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,466 |
1,449 |
$30K |
| D0272 |
Bitewings - two radiographic images |
749 |
738 |
$9K |