Dental
Pdom Havre De Grace
Pdom Havre De Grace was paid $4.29M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 16% of everything it billed.
33Billing provider infoPDOM HAVRE DE GRACE
HAVRE DE GRACE, MD 21078
HAVRE DE GRACE, MD 21078
33aNPI1396000790assigned 07/11/2012
33bProvider typeDentist
28Total paid$4.29M
24GClaims111,042
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Maryland
Rank by total paid#6 of 415
Median peer was paid$47K
This provider vs. median91×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official COLE, MIKE controls 20+ related entities in our dataset. Read more
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 | 7,659 | $299K | |
| 2019 | 10,730 | $423K | |
| 2020 | 13,974 | $595K | |
| 2021 | 21,312 | $819K | |
| 2022 | 18,794 | $658K | |
| 2023 | 19,015 | $702K | |
| 2024incomplete | 19,558 | $791K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 16% | 9,076 | 8,290 | $667K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 14,967 | 14,760 | $650K |
| D1206 | Topical application of fluoride varnish | 11% | 19,458 | 19,185 | $479K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 16,092 | 15,869 | $472K |
| D1351 | Sealant - per tooth | 11% | 13,160 | 2,299 | $452K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.4% | 2,683 | 1,677 | $318K |
| D1110 | Prophylaxis - adult | 4.6% | 3,331 | 3,278 | $198K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 1,724 | 1,106 | $162K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 2,358 | 2,322 | $124K |
| D7140 | Extraction, erupted tooth or exposed root | 2.6% | 1,063 | 565 | $112K |
| D8660 | 2.3% | 658 | 651 | $98K | |
| D0272 | Bitewings - two radiographic images | 2.3% | 6,410 | 6,329 | $97K |
13 more codes
| D0330 | Panoramic radiographic image | 2.2% | 2,262 | $96K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.9% | 511 | $82K |
| D0274 | Bitewings - four radiographic images | 1.7% | 3,360 | $75K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.6% | 3,709 | $67K |
| D1330 | 1.1% | 7,649 | $47K | |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | <1% | 36 | $37K |
| D0140 | Limited oral evaluation - problem focused | <1% | 752 | $33K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,203 | $11K |
| D3120 | <1% | 95 | $3K | |
| D0240 | <1% | 352 | $3K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 18 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 43 | $989.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 72 | $762.00 |
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 officialCOLE, MIKE (INSURANCE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Gentle Dental Gratiot Ave PLLC | Detroit, MI | $4.52M |
| Pdom Elkton | Elkton, MD | $4.44M |
| Dental Center of Goshen PLLC | Goshen, IN | $3.23M |
| Gentle Dental Grand River PLLC | Detroit, MI | $2.49M |
| Pediatric Dentistry and Orthodontics of Maryland LLC | Glen Burnie, MD | $1.99M |
| Gentle Dental Westland PLLC | Westland, MI | $1.60M |
| Konikoff Dental Associates, INC. | Virginia Beach, VA | $1.34M |
| Dental Care Alliance LLC | Sarasota, FL | $838K |
| Gentle Dental Shores PLLC | Saint Clair Shores, MI | $754K |
| Family Dental Group Associates PLLC | Flint, MI | $703K |
| Gentle Dental Warren PLLC | Warren, MI | $559K |
| Gentle Dental Bay PLLC | New Baltimore, MI | $305K |
| Gentle Dental Thorndale LLC | Thorndale, PA | $237K |
| Gentle Dental Shelby PLLC | Shelby Township, MI | $150K |
| Westland- Wayne P.C. | Westland, MI | $70K |
| Detroit - Gratiot P.C. | Detroit, MI | $24K |
| Dental One Associates (Westminster) PC | Westminster, MD | $7K |
| Dental One Associates Woodbridge PC | Woodbridge, VA | $3K |
| Germantown Dental Associates | Philadelphia, PA | $2K |
| Dental One Associates (Manassas) P.C. | Manassas, VA | $447.70 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.