Clinic
Johnsonburg Dental Center
Johnsonburg Dental Center was paid $1.92M by Medicaid between Jan 2018 and May 2024, across 19 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoJOHNSONBURG DENTAL CENTER
JOHNSONBURG, PA 15845
JOHNSONBURG, PA 15845
33aNPI1164514683assigned 09/29/2006
33bProvider typeDental Clinic/Center
28Total paid$1.92M
24GClaims24,189
24DCodes billed19
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Dental Clinic/Center providers in Pennsylvania
Rank by total paid#6 of 78
Median peer was paid$70K
This provider vs. median27×
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 | 2,570 | $225K | |
| 2019 | 3,901 | $330K | |
| 2020 | 5,257 | $350K | |
| 2021 | 5,654 | $374K | |
| 2022 | 125 | $22K | |
| 2023 | 5,337 | $493K | |
| 2024incomplete | 1,345 | $125K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 9,263 | 8,241 | $1.92M |
| D1110 | Prophylaxis - adult | <1% | 2,231 | 2,196 | $132.75 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 2,342 | 2,317 | $67.83 |
| D1206 | Topical application of fluoride varnish | <1% | 1,604 | 1,597 | $39.14 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,092 | 1,090 | $33.54 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 979 | 979 | $33.46 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,391 | 1,365 | $13.10 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 1,005 | 618 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 203 | 199 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 73 | 64 | $0.00 |
| D1330 | 0% | 824 | 818 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 610 | 608 | $0.00 |
7 more codes
| D0210 | Intraoral - complete series of radiographic images | 0% | 454 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 142 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 582 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 93 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 46 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 482 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 773 | $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 officialBENNARDI, KRISTIE (CEO)
Parent organizationKEYSTONE RURAL HEALTH CONSORTIA INC
| Provider | Location | Paid |
|---|---|---|
| Keystone Rural Health Consortia, INC. | Emporium, PA | $2.50M |
| Keystone Rural Health Consortia, INC. | Emporium, PA | $2.47M |
| Keystone Rural Health Consortia, INC. | Kersey, PA | $762K |
| Keystone Rural Health Consortia, INC | Ridgway, PA | $333K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.