Dental
Prime Choice Dental, INC
Prime Choice Dental, INC was paid $399K by Medicaid between May 2018 and Dec 2024, across 24 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoPRIME CHOICE DENTAL, INC
PHILADELPHIA, PA 19138
PHILADELPHIA, PA 19138
33aNPI1184152308assigned 06/01/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$399K
24GClaims15,371
24DCodes billed24
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#86 of 847
Median peer was paid$37K
This provider vs. median11×
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 | 139 | $4K | |
| 2020 | 2,298 | $61K | |
| 2021 | 5,637 | $144K | |
| 2024incomplete | 7,297 | $189K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 1,308 | 741 | $76K |
| D1110 | Prophylaxis - adult | 19% | 2,249 | 2,220 | $75K |
| D0274 | Bitewings - four radiographic images | 13% | 2,013 | 1,976 | $53K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.6% | 1,576 | 1,552 | $30K |
| D0330 | Panoramic radiographic image | 7.3% | 838 | 823 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.3% | 1,493 | 1,471 | $29K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.6% | 520 | 352 | $26K |
| D9110 | 3.4% | 474 | 453 | $14K | |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 1,892 | 1,795 | $13K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.3% | 216 | 152 | $13K |
| D1206 | Topical application of fluoride varnish | 2.1% | 466 | 466 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 902 | 785 | $7K |
12 more codes
| D1120 | Dental cleaning, child | 1.6% | 255 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 94 | $6K |
| D0140 | Limited oral evaluation - problem focused | <1% | 129 | $3K |
| D1330 | <1% | 449 | $2K | |
| D0601 | <1% | 150 | $1K | |
| D1310 | <1% | 223 | $1K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 19 | $1K |
| D2335 | <1% | 15 | $1K | |
| D1320 | <1% | 51 | $838.61 | |
| D4910 | <1% | 14 | $524.94 | |
| D0272 | Bitewings - two radiographic images | <1% | 13 | $190.92 |
| D0270 | <1% | 12 | $95.58 |
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 officialDAVTYAN, NATASHA (PRESIDENT)