Dental
ST Judes Dental Clinic
ST Judes Dental Clinic was paid $14K by Medicaid between May 2022 and Nov 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 56% of everything it billed.
33Billing provider infoST JUDES DENTAL CLINIC
WASHINGTON, DC 20018
WASHINGTON, DC 20018
33aNPI1356855332assigned 11/28/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$14K
24GClaims373
24DCodes billed6
24AFirst – last monthMay 2022 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in District of Columbia
Rank by total paid#59 of 93
Median peer was paid$36K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2022 | 52 | $2K | |
| 2023 | 128 | $5K | |
| 2024incomplete | 193 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 56% | 138 | 133 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 26% | 176 | 169 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.1% | 15 | 15 | $879.58 |
| D0330 | Panoramic radiographic image | 5.7% | 14 | 14 | $820.42 |
| D0274 | Bitewings - four radiographic images | 3.6% | 18 | 16 | $515.25 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.4% | 12 | 12 | $338.68 |
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 officialTAEME, BRUK (DR.)
| Provider | Location | Paid |
|---|---|---|
| Yohanna | Washington, DC | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.