Plaza Dental Associates PC

Plaza Dental Associates PC was paid $235K by Medicaid between Jan 2018 and Jan 2024, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 35% of everything it billed.

33Billing provider infoPLAZA DENTAL ASSOCIATES PC
ERIE, PA 16508

33aNPI1215030283assigned 09/06/2006

33bProvider typeDentist

28Total paid$235K

24GClaims8,693

24DCodes billed18

24AFirst – last monthJan 2018 – Jan 2024

Compared with peers

Next to other Dentist providers in Pennsylvania

Rank by total paid#108 of 683

Median peer was paid$34K

This provider vs. median6.8×

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	1,219	$30K
2019	1,240	$31K
2020	1,857	$51K
2021	4,235	$119K
2022	56	$1K
2023	25	$501.00
2024incomplete	61	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	35%	2,497	2,483	$83K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	26%	3,178	3,158	$61K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	12%	526	309	$29K
D1206	Topical application of fluoride varnish	5.3%	691	682	$12K
D0274	Bitewings - four radiographic images	4.8%	427	421	$11K
D1120	Dental cleaning, childProphylaxis - child	4.5%	352	352	$11K
D7140	Extraction, erupted tooth or exposed root	3.2%	126	80	$8K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2.9%	163	130	$7K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	1.5%	61	48	$3K
D2331		1.1%	45	25	$3K
D0272	Bitewings - two radiographic images	1.0%	159	158	$2K
D9110		<1%	70	69	$2K

6 more codes

D2332		<1%	18	$1K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	27	$1K
D0330	Panoramic radiographic image	<1%	16	$592.00
D0150	Comprehensive oral evaluation - new or established patient	<1%	24	$478.70
D0220	Intraoral - periapical first radiographic image	<1%	56	$428.10
D1999		<1%	257	$84.00

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 officialDAMCOTT, JOHN (ASSOCIATE FORMER PARTNER)