Petrick, David

Petrick, David was paid $16K by Medicaid between Nov 2020 and Feb 2021, across 2 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 96% of everything it billed.

33Billing provider infoPETRICK, DAVID
WHITE OAK, PA 15131

33aNPI1336106483assigned 05/01/2006

33bProvider typeOral and Maxillofacial Surgery (Dentist)

28Total paid$16K

24GClaims255

24DCodes billed2

24AFirst – last monthNov 2020 – Feb 2021

Compared with peers

Next to other Oral and Maxillofacial Surgery (Dentist) providers in Pennsylvania

Rank by total paid#90 of 114

Median peer was paid$117K

This provider vs. median0.1×

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
2020	99	$6K
2021	156	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	96%	242	98	$16K
D0140	Limited oral evaluation - problem focused	4.4%	13	13	$717.86

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.