Dental
In, Andrew
In, Andrew was paid $318K by Medicaid between Apr 2018 and Dec 2024, across 19 billing codes. Its largest line is D1110, Prophylaxis - adult — 18% of everything it billed.
33Billing provider infoIN, ANDREW
COATESVILLE, PA 19320
COATESVILLE, PA 19320
33aNPI1316090830assigned 01/19/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$318K
24GClaims11,218
24DCodes billed19
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#101 of 847
Median peer was paid$37K
This provider vs. median8.6×
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 | 78 | $1K | |
| 2020 | 2,512 | $76K | |
| 2021 | 7,809 | $219K | |
| 2024incomplete | 819 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 18% | 1,593 | 1,587 | $58K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 688 | 412 | $40K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,621 | 1,614 | $36K |
| D0274 | Bitewings - four radiographic images | 11% | 1,315 | 1,308 | $34K |
| D0210 | Intraoral - complete series of radiographic images | 8.1% | 557 | 556 | $26K |
| D7140 | Extraction, erupted tooth or exposed root | 7.6% | 418 | 198 | $24K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.7% | 381 | 254 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.6% | 751 | 750 | $18K |
| D9110 | 4.5% | 438 | 433 | $14K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.9% | 187 | 130 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 1,402 | 1,336 | $11K |
| D0330 | Panoramic radiographic image | 2.5% | 242 | 241 | $8K |
7 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 988 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 1.3% | 223 | $4K |
| D2331 | <1% | 44 | $2K | |
| D1120 | Dental cleaning, child | <1% | 52 | $2K |
| D0601 | <1% | 147 | $1K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 15 | $1K |
| D1330 | <1% | 156 | $780.00 |
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.