Dental
Devens, Preston
Devens, Preston was paid $107K by Medicaid between Nov 2020 and Nov 2021, across 14 billing codes. Its largest line is D1351, Sealant - per tooth — 21% of everything it billed.
33Billing provider infoDEVENS, PRESTON
YORK, PA 17404
YORK, PA 17404
33aNPI1124655980assigned 03/23/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$107K
24GClaims5,033
24DCodes billed14
24AFirst – last monthNov 2020 – Nov 2021
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#260 of 847
Median peer was paid$37K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2020 | 311 | $5K | |
| 2021 | 4,722 | $102K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 21% | 857 | 143 | $23K |
| D1110 | Prophylaxis - adult | 18% | 511 | 511 | $19K |
| D0274 | Bitewings - four radiographic images | 16% | 633 | 632 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 584 | 584 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.9% | 267 | 267 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 261 | 261 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.8% | 786 | 585 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 4.7% | 654 | 651 | $5K |
| D1206 | Topical application of fluoride varnish | 3.9% | 183 | 183 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 3.5% | 199 | 199 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.5% | 44 | 30 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 20 | 12 | $1K |
2 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.