Dental
717Dentist
717Dentist was paid $100K by Medicaid between Oct 2018 and Aug 2024, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider info717DENTIST
LANCASTER, PA 17603
LANCASTER, PA 17603
33aNPI1407257553assigned 09/09/2014
33bProvider typeDentist
28Total paid$100K
24GClaims3,234
24DCodes billed18
24AFirst – last monthOct 2018 – Aug 2024
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#208 of 683
Median peer was paid$34K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2018 | 12 | $277.68 | |
| 2024incomplete | 3,222 | $100K |
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 | 19% | 240 | 146 | $19K |
| D1110 | Prophylaxis - adult | 17% | 394 | 394 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 561 | 561 | $11K |
| D0274 | Bitewings - four radiographic images | 8.4% | 265 | 265 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.8% | 121 | 81 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.1% | 69 | 53 | $6K |
| D4910 | 4.7% | 93 | 93 | $5K | |
| D1208 | Topical application of fluoride, excluding varnish | 4.5% | 240 | 240 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.2% | 139 | 139 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.3% | 160 | 160 | $3K |
| D0330 | Panoramic radiographic image | 2.6% | 54 | 54 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 85 | 85 | $3K |
6 more codes
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 officialMAJITHIA, RASHI (OWNER)