Dental
Keystone Rural Health Consortia, INC.
Keystone Rural Health Consortia, INC. was paid $2.47M by Medicaid between Apr 2018 and Dec 2024, across 23 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 infoKEYSTONE RURAL HEALTH CONSORTIA, INC.
EMPORIUM, PA 15834
EMPORIUM, PA 15834
33aNPI1215451927assigned 08/03/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$2.47M
24GClaims35,925
24DCodes billed23
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#7 of 847
Median peer was paid$37K
This provider vs. median67×
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 | 2,429 | $214K | |
| 2019 | 6,636 | $498K | |
| 2020 | 9,062 | $547K | |
| 2021 | 9,946 | $610K | |
| 2022 | 29 | $5K | |
| 2023 | 5,838 | $463K | |
| 2024incomplete | 1,985 | $138K |
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% | 12,001 | 11,080 | $2.47M |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 124 | 110 | $65.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 2,442 | 2,436 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 1,021 | 820 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 1,197 | 1,195 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 2,697 | 2,692 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 442 | 319 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 2,984 | 2,977 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 1,519 | 265 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 941 | 939 | $0.00 |
| D1330 | 0% | 1,551 | 1,548 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 80 | 80 | $0.00 |
11 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 12 | $0.00 |
| D2331 | 0% | 32 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 13 | $0.00 |
| D0603 | 0% | 12 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 3,187 | $0.00 |
| D0191 | 0% | 414 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 1,261 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 1,695 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 1,446 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 841 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 13 | $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 |
| Johnsonburg Dental Center | Johnsonburg, PA | $1.92M |
| 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.