Dental
Mill Creek Dental, LLC
Mill Creek Dental, LLC was paid $33K by Medicaid between Nov 2020 and Oct 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.
33Billing provider infoMILL CREEK DENTAL, LLC
POTTSVILLE, PA 17901
POTTSVILLE, PA 17901
33aNPI1134560394assigned 07/16/2013
33bProvider typeDentist
28Total paid$33K
24GClaims1,238
24DCodes billed6
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#347 of 683
Median peer was paid$34K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2020 | 172 | $5K | |
| 2021 | 775 | $21K | |
| 2024incomplete | 291 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 47% | 434 | 432 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 32% | 509 | 506 | $10K |
| D0274 | Bitewings - four radiographic images | 16% | 189 | 189 | $5K |
| D1206 | Topical application of fluoride varnish | 4.3% | 81 | 81 | $1K |
| D0330 | Panoramic radiographic image | 1.4% | 13 | 13 | $444.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12 | 12 | $96.00 |
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 officialPELAGIO, DAVID (DENTIST)