Choice Dental

Choice Dental was paid $18K by Medicaid between Sep 2021 and Jan 2022, across 10 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 41% of everything it billed.

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
2021	450	$18K
2022	14	$639.45

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0210	Intraoral - complete series of radiographic images	41%	101	99	$7K
D4341		20%	47	14	$4K
D1110	Prophylaxis - adult	18%	60	60	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	16%	41	28	$3K
D0140	Limited oral evaluation - problem focused	4.0%	49	49	$724.03
D0150	Comprehensive oral evaluation - new or established patient	1.1%	109	107	$201.80
D0274	Bitewings - four radiographic images	<1%	17	17	$109.94
D1208	Topical application of fluoride, excluding varnish	<1%	14	14	$13.55
D0220	Intraoral - periapical first radiographic image	0%	12	12	$0.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	0%	14	14	$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 officialKELLY, TRENT (DENTIST)