Dental
Bannon, Bethany
Bannon, Bethany was paid $1.03M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 23% of everything it billed.
33Billing provider infoBANNON, BETHANY
BEDFORD, PA 15522
BEDFORD, PA 15522
33aNPI1295927531assigned 08/10/2007
33bProvider typeDentist
28Total paid$1.03M
24GClaims25,315
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#27 of 683
Median peer was paid$34K
This provider vs. median30×
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 | 460 | $11K | |
| 2019 | 381 | $10K | |
| 2020 | 369 | $10K | |
| 2021 | 7,662 | $327K | |
| 2022 | 193 | $5K | |
| 2023 | 529 | $14K | |
| 2024incomplete | 15,721 | $649K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 23% | 2,247 | 485 | $239K |
| D7140 | Extraction, erupted tooth or exposed root | 15% | 2,173 | 700 | $157K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.8% | 1,235 | 601 | $80K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.6% | 2,107 | 2,105 | $78K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.3% | 3,634 | 3,630 | $75K |
| D1351 | Sealant - per tooth | 6.2% | 2,601 | 728 | $64K |
| D1110 | Prophylaxis - adult | 6.1% | 1,680 | 1,677 | $63K |
| D1206 | Topical application of fluoride varnish | 5.3% | 3,080 | 3,075 | $55K |
| D0330 | Panoramic radiographic image | 3.9% | 1,083 | 1,081 | $40K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 699 | 389 | $38K |
| D0274 | Bitewings - four radiographic images | 2.7% | 983 | 981 | $28K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.6% | 381 | 243 | $27K |
11 more codes
| D9110 | 1.5% | 472 | $16K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.5% | 189 | $15K |
| D0272 | Bitewings - two radiographic images | 1.4% | 897 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 396 | $8K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 847 | $7K |
| D2390 | <1% | 35 | $5K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 249 | $4K |
| D2330 | <1% | 87 | $4K | |
| D2331 | <1% | 56 | $4K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 166 | $3K |
| D1510 | <1% | 18 | $2K |
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.