Dental
Primehealth of Ohio LLC
Primehealth of Ohio LLC was paid $36K by Medicaid between Dec 2018 and Jun 2021, across 11 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 35% of everything it billed.
33Billing provider infoPRIMEHEALTH OF OHIO LLC
COLUMBUS, OH 43215
COLUMBUS, OH 43215
33aNPI1174076558assigned 08/02/2016
33bProvider typeDentist
28Total paid$36K
24GClaims4,866
24DCodes billed11
24AFirst – last monthDec 2018 – Jun 2021
Compared with peers
Next to other Dentist providers in Ohio
Rank by total paid#380 of 745
Median peer was paid$38K
This provider vs. median0.9×
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 | 99 | $842.19 | |
| 2019 | 3,552 | $23K | |
| 2020 | 859 | $8K | |
| 2021 | 356 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 35% | 790 | 616 | $13K |
| 92015 | Determination of refractive state | 26% | 969 | 677 | $9K |
| 92557 | 13% | 794 | 650 | $5K | |
| 11721 | 9.2% | 260 | 215 | $3K | |
| 92567 | 7.4% | 1,090 | 901 | $3K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.1% | 634 | 528 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.4% | 20 | 15 | $491.34 |
| D1110 | Prophylaxis - adult | <1% | 199 | 155 | $341.30 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 33 | 21 | $136.64 |
| 92002 | <1% | 56 | 43 | $82.17 | |
| 92587 | 0% | 21 | 17 | $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 officialKING, KENNETH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Primehealth of Indiana LLC | Indianapolis, IN | $2.16M |
| Primehealth of Michigan LLC | Dearborn, MI | $266K |
| King & Wiggins, D.M.D., P.A. | North Charleston, SC | $148K |
| Primehealth of Kentucky LLC | Louisville, KY | $63K |
| Seniorwell Pod of Ohio LLC | Columbus, OH | $36K |
| Seniorwell Pod of Wisconsin LLC | Milwaukee, WI | $10K |
| Seniorwell of Missouri LLC | Saint Louis, MO | $4K |
| Seniorwell of Wisconsin LLC | Milwaukee, WI | $199.50 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.