Clinic
Community Health and Dental Care, INC
Community Health and Dental Care, INC was paid $5.23M by Medicaid between Jan 2018 and Dec 2024, across 51 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 infoCOMMUNITY HEALTH AND DENTAL CARE, INC
POTTSTOWN, PA 19465
POTTSTOWN, PA 19465
33aNPI1295994341assigned 06/04/2008
33bProvider typeCommunity Health Clinic/Center
28Total paid$5.23M
24GClaims56,530
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Pennsylvania
Rank by total paid#10 of 17
Median peer was paid$10.74M
This provider vs. median0.5×
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 | 2,545 | $351K | |
| 2019 | 3,186 | $357K | |
| 2020 | 8,409 | $657K | |
| 2021 | 11,948 | $1.17M | |
| 2022 | 9,710 | $891K | |
| 2023 | 9,659 | $991K | |
| 2024incomplete | 11,073 | $816K |
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% | 19,725 | 15,274 | $5.22M |
| 0502F | <1% | 1,075 | 861 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 6,499 | 5,706 | $1K |
| 3074F | <1% | 6,016 | 5,236 | $423.95 | |
| 3079F | <1% | 1,716 | 1,604 | $270.00 | |
| 3078F | <1% | 4,671 | 4,077 | $228.95 | |
| 99429 | <1% | 39 | 38 | $100.00 | |
| 3075F | <1% | 308 | 290 | $60.00 | |
| 1036F | 0% | 5,856 | 5,077 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 164 | 161 | $0.00 |
| 88142 | 0% | 254 | 252 | $0.00 | |
| 0501F | 0% | 1,156 | 937 | $0.00 |
39 more codes
| 2001F | 0% | 1,219 | $0.00 | |
| 3008F | 0% | 2,093 | $0.00 | |
| 90688 | 0% | 25 | $0.00 | |
| 92551 | 0% | 62 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 400 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 366 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 22 | $0.00 |
| D1330 | 0% | 72 | $0.00 | |
| 82962 | 0% | 12 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 17 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 33 | $0.00 |
| D0603 | 0% | 17 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 18 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 16 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 49 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 12 | $0.00 |
| 1159F | 0% | 3,179 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 12 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 167 | $0.00 |
| 81025 | 0% | 300 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 331 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 62 | $0.00 |
| 99173 | 0% | 69 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 46 | $0.00 |
| 90756 | 0% | 12 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 14 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 23 | $0.00 |
| 3077F | 0% | 26 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 12 | $0.00 |
| 90461 | 0% | 49 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 145 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 14 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 12 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 14 | $0.00 |
| D9110 | 0% | 34 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 14 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 13 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 47 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 23 | $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 officialMCGIVERN, BRIDGET (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Community Health and Dental Care, INC. | Pottstown, PA | $2.13M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.