Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Optima Dental

Optima Dental was paid $105K by Medicaid between Feb 2020 and Dec 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.

33Billing provider infoOPTIMA DENTAL
BRISTOL, PA 19007
33aNPI1396198198assigned 07/15/2016
33bProvider typeDentist
28Total paid$105K
24GClaims5,007
24DCodes billed17
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers

Next to other Dentist providers in Pennsylvania

Rank by total paid#200 of 683
Median peer was paid$34K
This provider vs. median3.1×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
202079$2K
202125$708.00
202377$810.00
2024incomplete4,826$102K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 21% 721 665 $22K
D1351 Sealant - per tooth 15% 282 76 $15K
D0274 Bitewings - four radiographic images 12% 578 539 $12K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 9.2% 531 482 $10K
D7140 Extraction, erupted tooth or exposed root 7.2% 94 60 $8K
D0150 Comprehensive oral evaluation - new or established patient 6.3% 381 353 $7K
D0220 Intraoral - periapical first radiographic image 5.6% 814 720 $6K
D0230 Intraoral - periapical each additional radiographic image 4.6% 691 593 $5K
D0140 Limited oral evaluation - problem focused 4.5% 201 173 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4.1% 66 48 $4K
D1208 Topical application of fluoride, excluding varnish 3.5% 223 211 $4K
D0210 Intraoral - complete series of radiographic images 2.5% 88 74 $3K
5 more codes
D1120 Dental cleaning, child 1.7% 76 $2K
D1354 1.6% 67 $2K
D0330 Panoramic radiographic image 1.2% 44 $1K
D1330 <1% 94 $622.40
D1310 <1% 56 $411.75

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 officialSEETHARAMAN, VIJI (OWNER)