Dental
Horizon Dental Care at Cherry Ridge
Horizon Dental Care at Cherry Ridge was paid $28K by Medicaid between Oct 2020 and Sep 2021, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 43% of everything it billed.
33Billing provider infoHORIZON DENTAL CARE AT CHERRY RIDGE
HONESDALE, PA 18431
HONESDALE, PA 18431
33aNPI1437576592assigned 03/26/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$28K
24GClaims1,075
24DCodes billed8
24AFirst – last monthOct 2020 – Sep 2021
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#462 of 847
Median peer was paid$37K
This provider vs. median0.8×
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 | 272 | $7K | |
| 2021 | 803 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 43% | 348 | 346 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 306 | 304 | $6K |
| D0274 | Bitewings - four radiographic images | 18% | 191 | 188 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.1% | 80 | 80 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.9% | 23 | 12 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 96 | 95 | $736.00 |
| D0330 | Panoramic radiographic image | 1.8% | 15 | 15 | $518.00 |
| D1206 | Topical application of fluoride varnish | <1% | 16 | 13 | $234.00 |
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 officialEVANISH, JOHN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Horizon Dental Care at Steamtown | Scranton, PA | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.