Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Duncansville › NPI 1154420636
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
33aNPI1154420636assigned 09/21/2006
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

$0$500$1.0K$1.5K2018201920202021202220232024
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
201825$403.35
202031$748.00
2021392$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.