Bradley L Mccormack DDS Pure LLC

Bradley L Mccormack DDS Pure LLC was paid $222K by Medicaid between Aug 2020 and Jul 2022, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 23% of everything it billed.

33Billing provider infoBRADLEY L MCCORMACK DDS PURE LLC
SEVEN HILLS, OH 44131

33aNPI1386103315assigned 03/19/2019

33bProvider typeDental Clinic/Center

28Total paid$222K

24GClaims6,515

24DCodes billed18

24AFirst – last monthAug 2020 – Jul 2022

Compared with peers

Next to other Dental Clinic/Center providers in Ohio

Rank by total paid#57 of 111

Median peer was paid$236K

This provider vs. median0.9×

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	693	$22K
2021	4,379	$159K
2022	1,443	$41K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	23%	968	470	$51K
D0150	Comprehensive oral evaluation - new or established patient	17%	1,467	1,427	$38K
D0210	Intraoral - complete series of radiographic images	16%	771	694	$36K
D1110	Prophylaxis - adult	13%	897	871	$30K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	8.5%	296	174	$19K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.2%	185	111	$9K
D0274	Bitewings - four radiographic images	3.2%	392	375	$7K
D0330	Panoramic radiographic image	2.9%	171	164	$6K
D3330	Endodontic therapy, molar tooth (excluding final restoration)	2.6%	15	15	$6K
D7140	Extraction, erupted tooth or exposed root	1.3%	55	12	$3K
D1206	Topical application of fluoride varnish	1.3%	198	195	$3K
D0140	Limited oral evaluation - problem focused	1.3%	126	118	$3K

6 more codes

D0120	Dental checkup, returning patient	1.1%	151	$2K
D1120	Dental cleaning, child	1.1%	117	$2K
D0220	Intraoral - periapical first radiographic image	<1%	415	$2K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	<1%	26	$1K
D0230	Intraoral - periapical each additional radiographic image	<1%	250	$1K
D2950		<1%	15	$918.48

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 officialABED, KAM (DIRECTOR OF OPPORATIONS)