Dental
Yetter, Crystal
Yetter, Crystal was paid $19K by Medicaid between Jan 2018 and Aug 2018, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 18% of everything it billed.
33Billing provider infoYETTER, CRYSTAL
POTTSTOWN, PA 19465
POTTSTOWN, PA 19465
33aNPI1306200084assigned 04/08/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$19K
24GClaims972
24DCodes billed10
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#502 of 847
Median peer was paid$37K
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 | 972 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 130 | 127 | $4K |
| D1110 | Prophylaxis - adult | 18% | 96 | 94 | $3K |
| D1206 | Topical application of fluoride varnish | 15% | 185 | 182 | $3K |
| D0274 | Bitewings - four radiographic images | 14% | 133 | 130 | $3K |
| D0140 | Limited oral evaluation - problem focused | 8.9% | 74 | 72 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.8% | 81 | 80 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.5% | 80 | 80 | $1K |
| D2140 | 3.7% | 17 | 12 | $710.00 | |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 128 | 122 | $642.00 |
| D0272 | Bitewings - two radiographic images | 2.6% | 48 | 48 | $502.00 |
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.