Dental
John, Matthew
John, Matthew was paid $96K by Medicaid between Nov 2020 and Nov 2021, across 19 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 25% of everything it billed.
33Billing provider infoJOHN, MATTHEW
LOWER BURRELL, PA 15068
LOWER BURRELL, PA 15068
33aNPI1447773775assigned 07/19/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$96K
24GClaims2,847
24DCodes billed19
24AFirst – last monthNov 2020 – Nov 2021
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#276 of 847
Median peer was paid$37K
This provider vs. median2.6×
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 | 427 | $11K | |
| 2021 | 2,420 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 25% | 215 | 214 | $24K |
| D0274 | Bitewings - four radiographic images | 12% | 418 | 408 | $12K |
| D1110 | Prophylaxis - adult | 11% | 313 | 309 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10.0% | 160 | 99 | $10K |
| D0330 | Panoramic radiographic image | 9.5% | 246 | 243 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.2% | 364 | 352 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.7% | 91 | 60 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 183 | 182 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 389 | 378 | $3K |
| D9110 | 3.1% | 90 | 88 | $3K | |
| D0140 | Limited oral evaluation - problem focused | 3.0% | 68 | 67 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 1.8% | 98 | 98 | $2K |
7 more codes
| D2330 | 1.6% | 30 | $2K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 16 | $1K |
| D1351 | Sealant - per tooth | 1.1% | 44 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 48 | $768.00 |
| D1120 | Dental cleaning, child | <1% | 21 | $630.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 14 | $616.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 39 | $312.00 |
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.