Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Scranton › NPI 1134477425
Managed care

Affiliated Pediatric Dentistry

Affiliated Pediatric Dentistry was paid $10.89M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is D9248, — 12% of everything it billed.

33Billing provider infoAFFILIATED PEDIATRIC DENTISTRY
SCRANTON, PA 18503
33aNPI1134477425assigned 08/17/2012
33bProvider typePoint of Service
28Total paid$10.89M
24GClaims255,529
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Point of Service providers in Pennsylvania

Rank by total paid#1 of 7
Median peer was paid$377K
This provider vs. median29×

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

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
2018647$11K
2019837$17K
202019,412$746K
2021116,197$4.77M
2024incomplete118,436$5.35M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D9248 12% 5,059 4,908 $1.34M
D2930 Prefabricated stainless steel crown - primary tooth 8.6% 6,930 3,528 $940K
D1351 Sealant - per tooth 7.9% 24,548 4,826 $858K
D1120 Dental cleaning, childProphylaxis - child 7.7% 21,388 21,349 $839K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 7.6% 26,109 26,040 $833K
D1206 Topical application of fluoride varnish 6.3% 30,699 30,600 $688K
D1110 Prophylaxis - adult 5.6% 10,631 10,595 $615K
D7140 Extraction, erupted tooth or exposed root 5.5% 7,417 3,789 $598K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 5.2% 5,077 3,042 $570K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.3% 4,361 2,795 $364K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.1% 6,360 6,219 $334K
D0272 Bitewings - two radiographic images 2.8% 10,365 10,334 $304K
35 more codes
D2150 Silver amalgam - two surfaces, primary or permanent 2.7% 3,523 $291K
D8670 Periodic orthodontic treatment visit 2.4% 882 $261K
D0150 Comprehensive oral evaluation - new or established patient 2.3% 6,067 $248K
D0274 Bitewings - four radiographic images 2.1% 6,272 $229K
D1330 1.7% 22,650 $181K
D2140 1.4% 2,239 $156K
D2332 1.2% 1,238 $136K
D1310 1.2% 12,441 $128K
D1510 1.2% 614 $127K
D0220 Intraoral - periapical first radiographic image 1.1% 9,087 $117K
D0603 <1% 11,059 $109K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 758 $106K
D1320 <1% 5,318 $99K
D0330 Panoramic radiographic image <1% 1,775 $92K
D0140 Limited oral evaluation - problem focused <1% 1,048 $67K
D2330 <1% 725 $53K
D0230 Intraoral - periapical each additional radiographic image <1% 1,834 $40K
D0210 Intraoral - complete series of radiographic images <1% 423 $31K
D8080 Comprehensive orthodontic treatment of the adolescent dentition <1% 13 $29K
D9110 <1% 573 $23K
D2160 <1% 248 $23K
D2390 <1% 107 $17K
D9920 <1% 114 $14K
D0145 Oral evaluation for a patient under three years of age <1% 534 $11K
D0270 <1% 585 $9K
D0340 <1% 258 $5K
D1517 <1% 15 $4K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 32 $4K
D7111 <1% 13 $880.00
D0273 <1% 13 $512.00
D8660 <1% 14 $362.20
D0602 <1% 27 $270.00
D0601 <1% 14 $140.00
D1999 <1% 6,059 $39.27
D0350 0% 13 $0.00

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 officialWEZMAR, ROSS (OWNER)
Same official

Other billing entities under WEZMAR, ROSS

Full network →
ProviderLocationPaid
Ross M Wezmar, DDS, PCHazelton, PA$10.46M
DR. Ross Wezmar DDS PCWilkes Barre, PA$2.58M
Ross M Wezmar, DDS, PCAllentown, PA$1.19M
DR. Ross Wezmar DDS PCBartonsville, PA$1.08M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.