Dental
Dondici-Chermol, Kimberly
Dondici-Chermol, Kimberly was paid $20K by Medicaid between Oct 2020 and Nov 2021, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 29% of everything it billed.
33Billing provider infoDONDICI-CHERMOL, KIMBERLY
ARDMORE, PA 19003
ARDMORE, PA 19003
33aNPI1164655890assigned 08/28/2009
33bProvider typePediatric Dentist
28Total paid$20K
24GClaims924
24DCodes billed8
24AFirst – last monthOct 2020 – Nov 2021
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#175 of 237
Median peer was paid$109K
This provider vs. median0.2×
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 | 114 | $2K | |
| 2021 | 810 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 29% | 259 | 258 | $6K |
| D1206 | Topical application of fluoride varnish | 28% | 290 | 290 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 161 | 161 | $4K |
| D1110 | Prophylaxis - adult | 10% | 54 | 53 | $2K |
| D0274 | Bitewings - four radiographic images | 4.8% | 30 | 29 | $966.28 |
| D0272 | Bitewings - two radiographic images | 3.7% | 41 | 41 | $737.79 |
| D0603 | 1.8% | 36 | 36 | $360.00 | |
| D1330 | 1.3% | 53 | 53 | $265.00 |
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.