Dental
Sommer, Ronald
Sommer, Ronald was paid $11K by Medicaid between Jan 2018 and Nov 2021, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 51% of everything it billed.
33Billing provider infoSOMMER, RONALD
DUNCANSVILLE, PA 16635
DUNCANSVILLE, PA 16635
33aNPI1154420636assigned 09/21/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$11K
24GClaims448
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#579 of 847
Median peer was paid$37K
This provider vs. median0.3×
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 | 25 | $403.35 | |
| 2020 | 31 | $748.00 | |
| 2021 | 392 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 51% | 165 | 164 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 45% | 257 | 256 | $5K |
| D0274 | Bitewings - four radiographic images | 2.9% | 14 | 13 | $311.00 |
| D1208 | Topical application of fluoride, excluding varnish | 1.0% | 12 | 12 | $108.00 |
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.