Dental
Portage Dental Center
Portage Dental Center was paid $575K by Medicaid between Jan 2018 and Nov 2020, across 25 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.
33Billing provider infoPORTAGE DENTAL CENTER
RAVENNA, OH 44266
RAVENNA, OH 44266
33aNPI1316093024assigned 01/26/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$575K
24GClaims24,020
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other General Practice Dentistry providers in Ohio
Rank by total paid#141 of 870
Median peer was paid$40K
This provider vs. median14×
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 | 8,483 | $214K | |
| 2019 | 11,065 | $255K | |
| 2020 | 4,472 | $106K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 20% | 3,792 | 3,583 | $117K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 5,437 | 5,155 | $84K |
| D1208 | Topical application of fluoride, excluding varnish | 8.1% | 3,284 | 3,134 | $47K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.9% | 927 | 618 | $45K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.3% | 2,208 | 2,108 | $42K |
| D0330 | Panoramic radiographic image | 6.1% | 852 | 802 | $35K |
| D8030 | 5.1% | 350 | 335 | $30K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.5% | 554 | 387 | $26K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 990 | 919 | $24K |
| D7140 | Extraction, erupted tooth or exposed root | 4.0% | 430 | 263 | $23K |
| D0274 | Bitewings - four radiographic images | 3.3% | 1,053 | 1,003 | $19K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.2% | 321 | 233 | $19K |
13 more codes
| D0210 | Intraoral - complete series of radiographic images | 3.0% | 362 | $17K |
| D0140 | Limited oral evaluation - problem focused | 2.9% | 827 | $16K |
| D1351 | Sealant - per tooth | 1.6% | 467 | $9K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,298 | $5K |
| D0272 | Bitewings - two radiographic images | <1% | 550 | $4K |
| D8670 | Periodic orthodontic treatment visit | <1% | 13 | $3K |
| D0340 | <1% | 42 | $3K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 42 | $2K |
| D2394 | <1% | 16 | $995.02 | |
| D0470 | <1% | 42 | $924.84 | |
| D2140 | <1% | 23 | $870.40 | |
| D0350 | <1% | 42 | $517.02 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 98 | $410.00 |
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 officialHARRY, ANN (OFFICE ADMINISTRATOR MGR)