Dental
Susquehanna River Valley Dental Health Clinic
Susquehanna River Valley Dental Health Clinic was paid $1.75M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is D1110, Prophylaxis - adult — 14% of everything it billed.
33Billing provider infoSUSQUEHANNA RIVER VALLEY DENTAL HEALTH CLINIC
SUNBURY, PA 17801
SUNBURY, PA 17801
33aNPI1356677868assigned 10/19/2009
33bProvider typeDentist
28Total paid$1.75M
24GClaims62,892
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#13 of 683
Median peer was paid$34K
This provider vs. median51×
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 | 2,093 | $65K | |
| 2019 | 1,701 | $51K | |
| 2020 | 3,711 | $113K | |
| 2021 | 7,940 | $252K | |
| 2023 | 1,957 | $46K | |
| 2024incomplete | 45,490 | $1.22M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 14% | 6,471 | 6,416 | $251K |
| D7140 | Extraction, erupted tooth or exposed root | 9.2% | 2,468 | 864 | $161K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.0% | 2,023 | 1,326 | $140K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.0% | 6,331 | 6,282 | $140K |
| D0274 | Bitewings - four radiographic images | 6.8% | 3,880 | 3,847 | $119K |
| D4346 | 6.0% | 2,559 | 2,524 | $105K | |
| D0330 | Panoramic radiographic image | 5.1% | 2,381 | 2,352 | $89K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.1% | 4,842 | 4,181 | $89K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.0% | 2,119 | 2,108 | $71K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.6% | 839 | 605 | $64K |
| D1330 | 3.6% | 5,625 | 5,560 | $64K | |
| D1310 | 3.6% | 5,668 | 5,603 | $63K |
24 more codes
| D0140 | Limited oral evaluation - problem focused | 3.6% | 1,199 | $62K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 2,499 | $56K |
| D1208 | Topical application of fluoride, excluding varnish | 3.0% | 2,576 | $53K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.0% | 929 | $52K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 5,998 | $52K |
| D1206 | Topical application of fluoride varnish | 1.1% | 885 | $19K |
| D0272 | Bitewings - two radiographic images | 1.0% | 1,034 | $18K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 188 | $11K |
| D2332 | <1% | 136 | $9K | |
| D9110 | <1% | 318 | $9K | |
| D1320 | <1% | 509 | $9K | |
| D1351 | Sealant - per tooth | <1% | 369 | $9K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 134 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 129 | $6K |
| D2331 | <1% | 68 | $5K | |
| D2140 | <1% | 86 | $4K | |
| D0270 | <1% | 329 | $3K | |
| D2160 | <1% | 40 | $3K | |
| D2330 | <1% | 35 | $2K | |
| D2335 | <1% | 26 | $2K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 14 | $1K |
| D2394 | <1% | 13 | $1K | |
| D0240 | <1% | 78 | $966.00 | |
| D1354 | <1% | 94 | $807.50 |
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 officialSOSLAND, PHIL (CHAIRMAN BOARD OF DIRECTORS)