Cosmetic and Family Dentistry

Cosmetic and Family Dentistry was paid $16K by Medicaid between Dec 2020 and Oct 2021, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 38% of everything it billed.

33Billing provider infoCOSMETIC AND FAMILY DENTISTRY
PHILADELPHIA, PA 19144

33aNPI1386773075assigned 03/05/2007

33bProvider typeDental Clinic/Center

28Total paid$16K

24GClaims617

24DCodes billed6

24AFirst – last monthDec 2020 – Oct 2021

Compared with peers

Next to other Dental Clinic/Center providers in Pennsylvania

Rank by total paid#55 of 78

Median peer was paid$70K

This provider vs. median0.2×

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	14	$347.06
2021	603	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	38%	188	187	$6K
D0274	Bitewings - four radiographic images	33%	204	203	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	112	111	$2K
D0150	Comprehensive oral evaluation - new or established patient	9.0%	76	76	$1K
D0330	Panoramic radiographic image	5.6%	25	25	$897.89
D1120	Dental cleaning, childProphylaxis - child	1.8%	12	12	$286.32

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 officialELMIMEH, HANI (OWNER)